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Jennifer Christa Willoughby, PHD
Psychologist in Leonardtown, Maryland
NPI 1619083110

Jennifer Christa Willoughby is a Psychologist based in Leonardtown, MD. Jennifer Christa Willoughby practices in Leonardtown, MD and has the professional credentials of PHD. The NPI Number for Jennifer Christa Willoughby is 1619083110 and holds a License No. 03600 (Maryland).

The current practice location address for Jennifer Christa Willoughby is 41900 Fenwick St, Leonardtown, MD and can be reached out via phone at 301-475-9660 and via fax at 301-475-8810.

Location: 41900 Fenwick St, Leonardtown, MD, 20650-1608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619083110
Provider Name
Jennifer Christa Willoughby
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
41900 Fenwick St, Leonardtown, MD, 20650-1608
Phone Number
301-475-9660
Fax Number
301-475-8810
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
379528 01 MD MDIPA
7729469 01 MD AETNA
B950 0007 01 MD CAREFIRST BCBS FEP & NCA
262293000 01 MD MAGELLAN
379528 01 MD ALLIANCE
PVPB114888 01 MD APS
379528 01 MD GEHA
379528 01 MD MAMSI
517B 60718903 01 MD CAREFIRST BCBS
379528 01 MD OPTIMUM CHOICE
institution
Provider Business Practice Location Address Details
Address
41900 Fenwick St
City
Leonardtown
State
Maryland
Zip
20650-3814
Phone Number
301-475-9660
Fax Number
301-475-8810
person
Provider Business Mailing Address Details
Address
41900 Fenwick St
City
Leonardtown
State
Maryland
Zip
20650-3814
Phone Number
301-475-9660
Fax Number
301-475-8810
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
03600 (Maryland)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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