Provider Demographics
NPI:1952839136
Name:BHATTARAI, JAGRITI (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAGRITI
Middle Name:
Last Name:BHATTARAI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JACKIE
Other - Middle Name:
Other - Last Name:BHATTARAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0005
Mailing Address - Country:US
Mailing Address - Phone:410-502-2447
Mailing Address - Fax:410-502-2419
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-502-2447
Practice Address - Fax:410-502-2419
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06222103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist