Boys Town Washington Dc, Inc. | |
1300 Caraway Ct Ste 106 Largo MD 20774-5462 | |
(120) 265-0636 | |
(202) 250-6362 |
Full Name | Boys Town Washington Dc, Inc. |
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Speciality | Psychologist |
Location | 1300 Caraway Ct Ste 106, Largo, Maryland |
Authorized Official Name and Position | Stacia Jean Shearman (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5313558104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boys Town Washington Dc, Inc. 4801 Sargent Rd Ne Washington DC 20017-2841 Ph: (202) 650-6361 | Boys Town Washington Dc, Inc. 1300 Caraway Ct Ste 106 Largo MD 20774-5462 Ph: (120) 265-0636 |
NPI Number | 1821797812 |
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Provider Enumeration Date | 02/28/2023 |
Last Update Date | 02/28/2023 |
Certification Date | 02/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821797812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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