| Adele M Asimow Phd Pa | |
|
19517 Gallatin Ct Montgomery Village MD 20886 | |
| (301) 977-5477 | |
| (301) 990-7289 |
| Full Name | Adele M Asimow Phd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 19517 Gallatin Ct, Montgomery Village, Maryland |
| Authorized Official Name and Position | Adele Man Kuen Asimow (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 3019775477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adele M Asimow Phd Pa 19517 Gallatin Ct Montgomery Village MD 20886 Ph: (301) 977-5477 | Adele M Asimow Phd Pa 19517 Gallatin Ct Montgomery Village MD 20886 Ph: (301) 977-5477 |
| NPI Number | 1598774127 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598774127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 569 (Maryland) | Primary |
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