IndividualActive
Jennifer Crockett, PHD
NPI 1598884462 · Cognitive & Behavioral Psychologist · Baltimore, MD
Provider details
- NPI number
- 1598884462
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 04418 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
707 N Broadway
Baltimore, MD 21205-1832
Phone: (443) 923-1886
Approximate (ZIP-level) locationGet directions
Mailing address
2931 E Biddle St
Baltimore, MD 21213-3939
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.