MEDICARE: DR. JAMILA WINN PSY.D.

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	103TC0700X	Clinical Psychologist	06202	MD

General Provider Information

NPI Number	:	1871060202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMILA WINN PSY.D.

Provider Business Mailing Address
First Line	:	9500 MEDICAL CENTER DRIVE
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-2791
Country	:	US
Telephone Number	:	301-458-8123
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 MEDICAL CENTER DRIVE
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-2791
Country	:	US
Telephone Number	:	301-458-8123
Fax Number	:

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

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	01/07/2019

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