JACOB WOOTTEN, BA

Psychologist - School

Active Individual
NPI: 1194001032

Practice Address

10910 CLARKSVILLE PIKE
Ellicott City, MD 21042

Phone: (443) 783-1773

Specialties

Specialty Code Primary License
Psychologist - School 103TS0200X Yes CER-195162-M4P1Q7 (MD)

Frequently Asked Questions

NPI 1194001032 is the National Provider Identifier for JACOB WOOTTEN, BA, a Psychologist - School provider located in Ellicott City, MD. This NPI was enumerated on October 24, 2011.
JACOB WOOTTEN, BA practices at 10910 CLARKSVILLE PIKE, Ellicott City, MD 21042.

Quick Facts

NPI
1194001032
Type
Individual
Enumerated
Oct 24, 2011
Last Updated
Jan 7, 2026

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