Jacocks, Connie Myerson

Jacocks, Connie Myerson is an individual health care provider with primary practice located at 600 N Wolfe St Phipps Bldg Ste 179, Baltimore MD 21287-0005. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jacocks, Connie Myerson can be contacted via phone (410) 502-5357.

Contact Information

Primary practice address
600 N Wolfe St Phipps Bldg Ste 179 Baltimore MD 21287-0005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1215218599
LBN Legal business name Jacocks, Connie Myerson
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Oct 31st, 2013 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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