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Provider Information for 1356758353


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Dr. JAMIE SPOHN Psy.D.


Other Names:  
Former Name: 
Dr. JAMIE JURBALA Psy.D.

Sex: Female

NPI: 1356758353
Last Updated: 2015-06-09
Certification Date:

Details

NameValue
NPI1356758353
Enumeration Date2014-07-22
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 121 HONEYSUCKLE LN
OWINGS, MD 20736-3430
United States

Phone: 407-617-2003 | Fax:
 
Primary Practice Address 121 HONEYSUCKLE LN
OWINGS, MD 20736-3430
United States

Phone: 407-617-2003 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 103T00000X - Psychologist DEB1-0000896
Yes 103TC0700X - Psychologist - ClinicalMD05590