Provider Demographics
NPI:1124248810
Name:JAREB, HELENA O (PHD)
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:O
Last Name:JAREB
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 CAMERON CT
Mailing Address - Street 2:SUITE 503
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4114
Mailing Address - Country:US
Mailing Address - Phone:301-588-5565
Mailing Address - Fax:
Practice Address - Street 1:8830 CAMERON CT
Practice Address - Street 2:SUITE 503
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4114
Practice Address - Country:US
Practice Address - Phone:301-588-5565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03921103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK840 0001OtherBCBS PROVIDER #
MD710A HOOtherBCBS MD RENDERING #