| Human Performance Llc | |
|
2906 Aquarius Ave Silver Spring MD 20906-1813 | |
| (240) 277-4427 | |
| Not Available |
| Full Name | Human Performance Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2906 Aquarius Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Donna Toby Kimmel (PRESIDENT) |
| Authorized Official Contact | 2402774427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Performance Llc 2906 Aquarius Ave Silver Spring MD 20906-1813 Ph: (240) 277-4427 | Human Performance Llc 2906 Aquarius Ave Silver Spring MD 20906-1813 Ph: (240) 277-4427 |
| NPI Number | 1053508671 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 09/27/2007 |
| Medicare PECOS PAC ID | 5991759276 |
|---|---|
| Medicare Enrollment ID | O20050309000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053508671 | NPI | - | NPPES |
| Provider Name | Donna T Kimmel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902812357 PECOS PAC ID: 5890775738 Enrollment ID: I20040722000167 |
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