Lauren Mazow Boyle, Ph.d., Llc | |
11325 Seven Locks Rd Ste 279b Potomac MD 20854-3205 | |
(301) 674-5880 | |
Not Available |
Full Name | Lauren Mazow Boyle, Ph.d., Llc |
---|---|
Speciality | Clinic/Center |
Location | 11325 Seven Locks Rd Ste 279b, Potomac, Maryland |
Authorized Official Name and Position | Lauren Mazow Boyle (OWNER) |
Authorized Official Contact | 3016745880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lauren Mazow Boyle, Ph.d., Llc 11325 Seven Locks Rd Ste 279b Potomac MD 20854-3205 Ph: (301) 674-5880 | Lauren Mazow Boyle, Ph.d., Llc 11325 Seven Locks Rd Ste 279b Potomac MD 20854-3205 Ph: (301) 674-5880 |
NPI Number | 1417694258 |
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Provider Enumeration Date | 05/13/2022 |
Last Update Date | 05/13/2022 |
Certification Date | 05/13/2022 |
Medicare PECOS PAC ID | 1254719586 |
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Medicare Enrollment ID | O20220527001181 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417694258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Lauren Boyle |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538818505 PECOS PAC ID: 5698153922 Enrollment ID: I20220527001311 |
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