Jacob J Wootten, BA

NPI #1194001032 in Ellicott City, Maryland

Provider Information

NPI Number: 1194001032
Entity Type: Individual
Name: Jacob J Wootten, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: BA
Enumeration Date: Oct 24, 2011
Last Updated: Jan 7, 2026

Practice Location

Address: 10910 CLARKSVILLE PIKE
City: Ellicott City
State: Maryland
ZIP Code: 21042-6106
Phone: (443) 783-1773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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