Jacqualine Polydoros, LCPC

NPI 1396349379 · on the registry since 2020

Practice

Address: 322 E Antietam St Ste 101
Hagerstown, MD 21740
Phone: (301) 733-2431
Organisation at this address: Antietam Orthodontics
Mukkara Hagerstown Llc
Robert J Winebrenner Dds Pa
Associated Radiologists, Pa
Physiotherapy Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 49

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland