Individual provider · NPI-1

Jenna Baddeley

Psychologist, Clinical · Charleston, SC

NPI number1780947184
StatusActive
Last updated in NPPESJun 20, 2012

Details

NPI
1780947184
Entity type
Individual (NPI-1)
Name
Jenna Baddeley
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2012
Last updated
Jun 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical5555SCYes

Practice location

109 Bee St
Charleston, SC 29401-5703

Phone 843-789-7141

Mailing address

109 Bee St
Charleston, SC 29401-5703

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