Dr. Jacqueline Shoshannah Iseman
Clinical Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
10796 Hickory Ridge Rd
Columbia
, Maryland 21044-3646
Dr. Jacqueline Shoshannah Iseman
Clinical Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
10796 Hickory Ridge Rd
Columbia
, Maryland 21044-3646
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jacqueline Shoshannah Iseman
- 10796 Hickory Ridge Rd
- Columbia, MD
- Zip : 21044-3646
- Phone :
Second Address
- Dr. Jacqueline Shoshannah Iseman
- 10796 Hickory Ridge Rd
- Columbia, MD
- Zip : 21044-3646
- Phone : (410) 730-8877
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 04331 | MD |
| N | 103G00000X | Clinical Psychologist | 04331 | MD |
| N | 103TC0700X | Clinical Psychologist | 04331 | MD |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 04331 | MD |
National Provider Identifier
| NPI | 1023295235 |
|---|---|
| Provider Name | Dr. Jacqueline Shoshannah Iseman |
| First Address | Columbia, MD 21044-3646 |
| Second Address | Columbia, MD 21044-3646 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2008 |
| Last Update Date | 30/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.