JENDAYO GRADY PHD NPI 1790907327

NPI Information

NPI: 1790907327
Provider Name: JENDAYO GRADY, PHD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7307 BALTIMORE AVE STE 214
COLLEGE PARK, MD
ZIP 20740
Phone: (240) 515-5353
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Jendayo Grady, PHD is a mental health counselor in College Park, MD. Jendayo Grady, PHD NPI is 1790907327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7307 BALTIMORE AVE STE 214
COLLEGE PARK, MD
ZIP 20740-231
Phone: (240) 515-5353

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/19/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	04212	MARYLAND	No
2	103TC0700X	Psychologist	Clinical	PSY1000361	DISTRICT OF COLUMBIA	No
3	101YM0800X	Counselor	Mental Health	PSY1000361	DISTRICT OF COLUMBIA	Yes

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

NPI Synchronization or Removal

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