Dr. Jennie Lynn Crim
Psychologist
10560 Main St Ste 507
Fairfax
, Virginia 22030
Dr. Jennie Lynn Crim
Psychologist
10560 Main St Ste 507
Fairfax
, Virginia 22030
(703) 798-3907
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jennie Lynn Crim
- Po Box 3011
- Merrifield, VA
- Zip : 22116
- Phone : (703) 798-3907
Second Address
- Dr. Jennie Lynn Crim
- 10560 Main St Ste 507
- Fairfax, VA
- Zip : 22030
- Fax : (703) 691-3553
- Phone : (703) 691-1326
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 0810002053 | VA |
| Y | 103T00000X | Psychologist | 0810002053 | VA |
National Provider Identifier
| NPI | 1013963347 |
|---|---|
| Provider Name | Dr. Jennie Lynn Crim |
| First Address | Merrifield, VA 22116 |
| Second Address | Fairfax, VA 22030 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7703872 | (05) | VA |
| Q40506 | (02) |
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.