| City Park Psychological Services & Associates, Llc | |
|
209 W Patrick St Frederick MD 21701-5515 | |
| (301) 401-2813 | |
| Not Available |
| Full Name | City Park Psychological Services & Associates, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 209 W Patrick St, Frederick, Maryland |
| Authorized Official Name and Position | Lou A Lichti (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3014012813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Park Psychological Services & Associates, Llc 209 W Patrick St Frederick MD 21701-5515 Ph: (301) 401-2813 | City Park Psychological Services & Associates, Llc 209 W Patrick St Frederick MD 21701-5515 Ph: (301) 401-2813 |
| NPI Number | 1922395847 |
|---|---|
| Provider Enumeration Date | 06/29/2011 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922395847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2139 (Maryland) | Primary |
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