| D.a. Wynne & Associates,inc. | |
|
10230 New Hampshire Ave Ste 206 Silver Spring MD 20903-1423 | |
| (301) 439-6700 | |
| Not Available |
| Full Name | D.a. Wynne & Associates,inc. |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 10230 New Hampshire Ave Ste 206, Silver Spring, Maryland |
| Authorized Official Name and Position | Elizabeth C Krueger (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3014396700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.a. Wynne & Associates,inc. 10230 New Hampshire Ave Ste 206 Silver Spring MD 20903-1423 Ph: (301) 439-6700 | D.a. Wynne & Associates,inc. 10230 New Hampshire Ave Ste 206 Silver Spring MD 20903-1423 Ph: (301) 439-6700 |
| NPI Number | 1639647183 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 11/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639647183 | NPI | - | NPPES |
| 954067900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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