| Frederick Psychology Center Llc | |
|
97 Thomas Johnson Dr Suite 202 Frederick MD 21702-4373 | |
| (301) 695-6455 | |
| (301) 695-6456 |
| Full Name | Frederick Psychology Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 97 Thomas Johnson Dr, Frederick, Maryland |
| Authorized Official Name and Position | Timothy Allen Gibian (CO-OWNER) |
| Authorized Official Contact | 3016956455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Psychology Center Llc 97 Thomas Johnson Dr Suite 202 Frederick MD 21702-4373 Ph: (301) 695-6455 | Frederick Psychology Center Llc 97 Thomas Johnson Dr Suite 202 Frederick MD 21702-4373 Ph: (301) 695-6455 |
| NPI Number | 1588685465 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 09/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588685465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Bls Diagnostics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8435 Progress Dr Ste Ee, Frederick, MD 21701 Phone: 866-526-8088 | |
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