IndividualActive
Maryam Jernigan, PHD
NPI 1508942426 · Clinical Child & Adolescent Psychologist · West Hartford, CT
Provider details
- NPI number
- 1508942426
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8.003430 (CT)
Practice location
784 Farmington Ave
West Hartford, CT 06119-1619
Phone: (860) 523-4450
Mailing address
784 Farmington Ave
West Hartford, CT 06119-1619
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2015-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.