| Lavender Hills Psychotherapy Llc | |
|
11140 Rockville Pike Ste 400 North Bethesda MD 20852-3104 | |
| (240) 230-6668 | |
| Not Available |
| Full Name | Lavender Hills Psychotherapy Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 11140 Rockville Pike Ste 400, North Bethesda, Maryland |
| Authorized Official Name and Position | Paula Henriquez (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2402306668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Hills Psychotherapy Llc 11140 Rockville Pike Ste 400 N Bethesda MD 20852-3104 Ph: (240) 230-6668 | Lavender Hills Psychotherapy Llc 11140 Rockville Pike Ste 400 North Bethesda MD 20852-3104 Ph: (240) 230-6668 |
| NPI Number | 1518443274 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518443274 | NPI | - | NPPES |
| 1598071433 | Other | MD | CLINICAL PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 05723 (Maryland) | Primary |
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