Healthcare Provider Details

I. General information

NPI: 1841409471
Provider Name (Legal Business Name): JENNIFER HOOVER KESSLER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6925 OAKLAND MILLS RD # 615
COLUMBIA MD
21045-4714
US

IV. Provider business mailing address

6925 OAKLAND MILLS RD # 615
COLUMBIA MD
21045-4714
US

V. Phone/Fax

Practice location:
  • Phone: 410-896-1962
  • Fax:
Mailing address:
  • Phone: 410-896-1962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number03606
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: