MS. RODDIA JENNISE PAUL LPA
NPI 1659960995
Licensed Psychiatric Technician in Hillcrest Heights, MD

Active since January 12, 2021
3001 BRANCH AVE APT 616, HILLCREST HEIGHTS, MD 20748(202) 910-6109 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Roddia Jennise Paul Lpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RODDIA JENNISE PAUL LPA (NPI 1659960995) is an individual licensed psychiatric technician in Hillcrest Heights, Maryland, licensed in Maryland (A0666) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1659960995
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMS. RODDIA JENNISE PAULCredential: LPA
Location Address3001 BRANCH AVE APT 616Hillcrest Heights, MD 20748-1018
Mailing Address3001 Branch Ave Apt 616Hillcrest Heights, MD 20748-1018 · (202) 910-6109
Sole ProprietorYes
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
NPI 1659960995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in MD · A0666
Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

3001 BRANCH AVE APT 616, Hillcrest Heights, MD 20748

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659960995, enumerated as an "individual" on January 12, 2021.

The provider is located at 3001 BRANCH AVE APT 616 HILLCREST HEIGHTS, MD 20748 and the phone number is (202) 910-6109.

Licensed Psychiatric Technician with taxonomy code 167G00000X.