Insideout Psychological Services, Llc | |
2811 Pumpkin St Clinton MD 20735-1063 | |
(301) 275-6737 | |
Not Available |
Full Name | Insideout Psychological Services, Llc |
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Speciality | Psychologist - Clinical |
Location | 2811 Pumpkin St, Clinton, Maryland |
Authorized Official Name and Position | M Renee Mottenon-thompson (OWNER/OPERATOR) |
Authorized Official Contact | 3012756737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Insideout Psychological Services, Llc 2811 Pumpkin St Clinton MD 20735-1063 Ph: (301) 275-6737 | Insideout Psychological Services, Llc 2811 Pumpkin St Clinton MD 20735-1063 Ph: (301) 275-6737 |
NPI Number | 1821462557 |
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Provider Enumeration Date | 11/18/2015 |
Last Update Date | 11/18/2015 |
Identifier | Type | State | Issuer |
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1821462557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 05186 (Maryland) | Primary |
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