| About A Healthy Brain | |
|
19403 Buckingham Way Germantown MD 20874-4665 | |
| (240) 756-1682 | |
| Not Available |
| Full Name | About A Healthy Brain |
|---|---|
| Speciality | Psychologist |
| Location | 19403 Buckingham Way, Germantown, Maryland |
| Authorized Official Name and Position | Debra April Latoak Lee (NURSE PRACTITIONER) |
| Authorized Official Contact | 2407561682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| About A Healthy Brain 12774 Wisteria Dr 2724 Germantown MD 20875 Ph: (240) 756-1682 | About A Healthy Brain 19403 Buckingham Way Germantown MD 20874-4665 Ph: (240) 756-1682 |
| NPI Number | 1477237303 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 8628413267 |
|---|---|
| Medicare Enrollment ID | O20240305002001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477237303 | NPI | - | NPPES |
| Provider Name | Debra Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922725837 PECOS PAC ID: 9032575808 Enrollment ID: I20240409001982 |
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