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MARY ATWATER, PSY.D., LCC

Behavioral Health & Social Service Providers Counselor Mental Health

Provider NPI: 1972644474

Organization Information:
Organization Name:  MARY ATWATER, PSY.D., LCC
Authorized Official:  MARY  ATWATER  OWNER  301-807-8417

Practice Location:
4828 WEST LN STE B BETHESDA, MD 20814-6338 US
Tel: 301-807-8417  Fax: --

Business Mailing Address:
5604 RIDGEFIELD RD  BETHESDA, MD 20816-1253 US
Tel: 301-807-8417  Fax: --

NPI Information:
NPI: 1972644474
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
MD04053
X103TA0700XBehavioral Health & Social Service Providers
Psychologist
MD04053
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
MD04053
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
MD04053
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
MD04053
X103TF0000XBehavioral Health & Social Service Providers
Psychologist
MD04053
X106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
MD04053

Other Provider Identifiers:

IssuerNumberStateType




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