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DR. MARYAM JERNIGAN PHD NPI 1508942426


NPI Information

NPI: 1508942426
Provider Name: DR. MARYAM JERNIGAN, PHD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
784 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06119
Phone: (860) 523-4450
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DR. Maryam Jernigan, PHD is a clinical child and adolescent psychologist in West Hartford, CT. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Maryam Jernigan, PHD NPI is 1508942426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

784 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06119-619
Phone: (860) 523-4450

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent8.003430CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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