Fetherson & Knight Psychological Services, Llc | |
7404 Executive Pl Ste 225b Lanham MD 20706-6205 | |
(240) 929-4387 | |
(240) 929-4391 |
Full Name | Fetherson & Knight Psychological Services, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 7404 Executive Pl Ste 225b, Lanham, Maryland |
Authorized Official Name and Position | Bianca Fetherson (CLINICAL DIRECTOR/CO-OWNER) |
Authorized Official Contact | 2409294387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fetherson & Knight Psychological Services, Llc 7404 Executive Pl Ste 225b Lanham MD 20706-6205 Ph: (240) 929-4387 | Fetherson & Knight Psychological Services, Llc 7404 Executive Pl Ste 225b Lanham MD 20706-6205 Ph: (240) 929-4387 |
NPI Number | 1558828996 |
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Provider Enumeration Date | 02/21/2019 |
Last Update Date | 09/14/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558828996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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