Provider Demographics
NPI:1285770461
Name:SIKORSKI, JASON FRANCIS (PH D)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:FRANCIS
Last Name:SIKORSKI
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 PAULETTE RD APT 104
Mailing Address - Street 2:
Mailing Address - City:DUNDALK
Mailing Address - State:MD
Mailing Address - Zip Code:21222-7820
Mailing Address - Country:US
Mailing Address - Phone:334-329-0901
Mailing Address - Fax:
Practice Address - Street 1:OF PSYCHIATRY AND BEHAVIORAL SCIENCES
Practice Address - Street 2:600 NORTH WOLFE ST. CMSC 386
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-614-2618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist