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Jendayo Grady PHD

Mental Health Counselor in College Park, MD(View on Map)

Full Name

Jendayo Grady PHD

NPI Number

1790907327

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/03/2007

Specialties

(Taxonomies)

Name

Mental Health Counselor
Clinical Psychologist

Code

101YM0800X
103TC0700X

Primary Taxonomy

Yes
No

Licenses

State

District Of Columbia
Maryland

License Number

PSY1000361
04212

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3740
7307 BALTIMORE AVE STE 214

City

Silver Spring
College Park

State

MD
MD

Postal Code

20918-3740
20740-3231

Country

US
US

Telephone Number

(240) 515-5353
(240) 515-5353

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/19/2007

Provider Address

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