| Ffcc | |
|
301c Crain Hwy Se 301c Glen Burnie MD 21061 | |
| (410) 761-8708 | |
| (410) 761-2474 |
| Full Name | Ffcc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 301c Crain Hwy Se, Glen Burnie, Maryland |
| Authorized Official Name and Position | David Joseph Fowler (OWNER) |
| Authorized Official Contact | 4107618708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ffcc Po Box 537 Foundation For Families Counseling And Consultationffcc Crownsville MD 21032 Ph: (410) 761-8708 | Ffcc 301c Crain Hwy Se 301c Glen Burnie MD 21061 Ph: (410) 761-8708 |
| NPI Number | 1447433925 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447433925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 01048 (Maryland) | Secondary |
| 103TC0700X | Psychologist - Clinical | 01048 (Maryland) | Primary |
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