NPI | 1952570343 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN BRANCH President/CEO 301-306-4590 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0055667) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 04055) |
103TC0700X Psychologist, Clinical (Licence: MD 01160) | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 04208) | |
1041C0700X Social Worker, Clinical (Licence: MD G11628) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD32806) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R175350) | |
Enumeration Date | 2008-02-29 |
Last Update Date | 2019-07-15 |