MEDICARE: DR. JENNIFER ELLEN EDWARDS PH.D., MA, NCSP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	06553	MD

General Provider Information

NPI Number	:	1598501272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ELLEN EDWARDS PH.D., MA, NCSP

Provider Business Mailing Address
First Line	:	9602 LAMBETH CT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-1927
Country	:	US
Telephone Number	:	301-520-4583
Fax Number	:

Provider Business Practice Location Address
First Line	:	9602 LAMBETH CT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-1927
Country	:	US
Telephone Number	:	301-520-4583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2024
Last Update Date	:	07/02/2024

Similar Medicare Providers

1629131818 — DR. AMY BRYAN PHARM.D
Practice Location Address:

417 HAMPTON TRACE LN
COLUMBIA, SC
29209-1927

Practice Phone: 803-647-1239
Practice Fax:

1992171920 — JOELLE ALSTAD
Practice Location Address:

4922 TYLER ST NE
COLUMBIA HEIGHTS, MN
55421-1927

Practice Phone: 651-238-8745
Practice Fax:

1164369435 — ROOTED STRENGTH PHYSICAL THERAPY
Practice Location Address:

7175 OAKLAND MILLS RD STE M
COLUMBIA, MD
21046-1570

Practice Phone: 443-875-5960
Practice Fax:

1497511505 — MELISSA ANN SUTTON
Practice Location Address:

7120 SAMUEL MORSE DR STE 150
COLUMBIA, MD
21046-3420

Practice Phone: 888-344-5977
Practice Fax:

1073379863 — CHUKWUAMAKA CHUKWUMOBI
Practice Location Address:

7120 SAMUEL MORSE DR STE 150
COLUMBIA, MD
21046-3420

Practice Phone: 855-935-3691
Practice Fax:

1669165015 — JASMINE BRAKE
Practice Location Address:

7120 SAMUEL MORSE DR STE 150
COLUMBIA, MD
21046-3420

Practice Phone: 888-344-5977
Practice Fax:

Directions to “ DR. JENNIFER ELLEN EDWARDS PH.D., MA, NCSP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.