Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob J Wootten, BA

Individual provider School Psychologist · NPI 1194001032

Jacob J Wootten, BA is a School Psychologist in Ellicott City, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2011
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

10910 Clarksville Pike
Ellicott City, MD 21042-6106
Phone: (443) 783-1773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence CER-195162-M4P1Q7 (MD)

Record details

NPI number1194001032
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedOctober 24, 2011
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

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