| Archon Consultants | |
|
9055 Shady Grove Ct Gaithersburg MD 20877-1301 | |
| (908) 625-9713 | |
| Not Available |
| Full Name | Archon Consultants |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9055 Shady Grove Ct, Gaithersburg, Maryland |
| Authorized Official Name and Position | Mark Christopher Edwards (MANAGING PARTNER) |
| Authorized Official Contact | 9086259713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archon Consultants 9055 Shady Grove Ct Gaithersburg MD 20877-1301 Ph: (908) 625-9713 | Archon Consultants 9055 Shady Grove Ct Gaithersburg MD 20877-1301 Ph: (908) 625-9713 |
| NPI Number | 1205142155 |
|---|---|
| Provider Enumeration Date | 08/28/2010 |
| Last Update Date | 08/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205142155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3127 (Maryland) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 41445 (Maryland) | Primary |
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