Provider Demographics
NPI:1356332647
Name:WARRINGTON, JAN BELLE (PSYD)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:BELLE
Last Name:WARRINGTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1509 RITCHIE HIGHWAY
Mailing Address - Street 2:STE F
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012
Mailing Address - Country:US
Mailing Address - Phone:410-757-2077
Mailing Address - Fax:410-757-5184
Practice Address - Street 1:49 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:STE 303
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-573-1944
Practice Address - Fax:410-573-1972
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD39532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD222LI525Medicare ID - Type Unspecified