Provider Demographics
NPI:1871679282
Name:CHEN, JADE WOO (PHD)
Entity Type:Individual
Prefix:DR
First Name:JADE
Middle Name:WOO
Last Name:CHEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 STRATFORD MANOR TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5982
Mailing Address - Country:US
Mailing Address - Phone:301-384-3820
Mailing Address - Fax:301-384-3820
Practice Address - Street 1:8955 EDMONSTON RD
Practice Address - Street 2:SUITE E
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1006
Practice Address - Country:US
Practice Address - Phone:301-441-1233
Practice Address - Fax:301-384-3820
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1609103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0506OtherCAREFIRST
MD40137901OtherCAREFIRST
MD38734OtherMDIPA
MD4231237OtherAETNA
MD38734OtherMDIPA