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NPI Code Detail

MEDICARE: DR. JENNIFER GREB

MEDICARE: DR. JENNIFER GREB
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
1101YM0800XMental Health CounselorA0251MD

General Provider Information

NPI Number : 1922745629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER GREB
Provider Business Mailing Address
First Line : 2408 AUTUMN HARVEST CT UNIT 304
Second Line :
City : ODENTON
State : MD
Zip : 21113-1650
Country : US
Telephone Number : 808-779-0819
Fax Number :
Provider Business Practice Location Address
First Line : 1363 BECKNEL AVE
Second Line :
City : ODENTON
State : MD
Zip : 21113-1501
Country : US
Telephone Number : 410-760-9079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2022
Last Update Date : 05/16/2022

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Directions to “ DR. JENNIFER GREB ” Practice Location

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