Provider Demographics
NPI:1467597047
Name:HINLICKY, JEAN A (M D)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:A
Last Name:HINLICKY
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11005 VALLEY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3056
Mailing Address - Country:US
Mailing Address - Phone:410-998-9245
Mailing Address - Fax:410-998-9250
Practice Address - Street 1:1501 SULGRAVE AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3654
Practice Address - Country:US
Practice Address - Phone:410-998-9245
Practice Address - Fax:410-998-9250
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD293482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry