Provider Demographics
NPI:1477809671
Name:CRAIGFELD, JEANNETTE ROSE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JEANNETTE
Middle Name:ROSE
Last Name:CRAIGFELD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8720 GEORGIA AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3614
Mailing Address - Country:US
Mailing Address - Phone:240-424-0101
Mailing Address - Fax:
Practice Address - Street 1:8720 GEORGIA AVE STE 205
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3614
Practice Address - Country:US
Practice Address - Phone:240-424-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005670103TC0700X
DCPSY1001290103TC0700X
MD06627103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical