Provider Demographics
NPI:1639932411
Name:PRICE, JENIFER LEE (PHD, LMSW)
Entity Type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:LEE
Last Name:PRICE
Suffix:
Gender:F
Credentials:PHD, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8418 THORNBERRY DR E
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5061
Mailing Address - Country:US
Mailing Address - Phone:202-240-2384
Mailing Address - Fax:
Practice Address - Street 1:418 SHEPHERD ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5944
Practice Address - Country:US
Practice Address - Phone:202-240-2384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health