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Contact Information

JACLYN LEITH, PhD
2479 5TH ST.
FORT MEADE, MD20755
 Phone: 410-305-5325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACLYN LEITH · (Female)

NPI # 1649725995
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/16/2016
Last updated 08/16/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 05706
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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