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5301 76th Ave Landover Hills MD 20784-1703 | |
(301) 459-2121 | |
(301) 918-9757 |
Full Name | |
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Speciality | Psychologist - Rehabilitation |
Location | 5301 76th Ave, Landover Hills, Maryland |
Authorized Official Name and Position | Daphne Smith (BILLING MANAGER) |
Authorized Official Contact | 3014592121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5301 76th Ave Landover Hills MD 20784-1703 Ph: (301) 459-2121 | 5301 76th Ave Landover Hills MD 20784-1703 Ph: (301) 459-2121 |
NPI Number | 1013231190 |
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Provider Enumeration Date | 03/18/2010 |
Last Update Date | 03/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013231190 | NPI | - | NPPES |
319111700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TR0400X | Psychologist - Rehabilitation | 2427 (Maryland) | Primary |
N5 Therapy And Wellness Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7515 Annapolis Rd, Landover Hills, MD 20784 Phone: 240-547-5323 | |
C.h.o.i.c.e.s., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 Chesapeake Rd, # 201, Landover Hills, MD 20784 Phone: 334-357-6386 Fax: 301-780-3783 | |