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MID-ATLANTIC PSYCHOLOGICAL SERVICES

Behavioral Health & Social Service Providers Psychologist Clinical Child & Adolescent

Provider NPI: 1437595410

Organization Information:
Organization Name:  MID-ATLANTIC PSYCHOLOGICAL SERVICES
Organization is Subpart
Authorized Official:  CHRISTOPHER  BISHOP  CEO/PRESIDENT  240-297-9857

Practice Location:
4700 BERWYN HOUSE RD  COLLEGE PARK, MD 20740-2474 US
Tel: 240-297-9857  Fax: --

Business Mailing Address:
9900 GREENBELT RD E-293 LANHAM, MD 20706-2255 US
Tel: 240-297-9857  Fax: --

NPI Information:
NPI: 1437595410
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
MD04422
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
MD04422
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
MD04422
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
MD04422
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
MD04422
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
MD11809
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
DCLC3000754
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
MD04422

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TC0700X

Type:

Classification:



Definition:



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