| Lighted Path Psychological Services Llc | |
|
5926 Cecil Ave Gwynn Oak MD 21207-5012 | |
| (301) 318-0549 | |
| Not Available |
| Full Name | Lighted Path Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5926 Cecil Ave, Gwynn Oak, Maryland |
| Authorized Official Name and Position | Eileen K Griffin (OWNER) |
| Authorized Official Contact | 3013180549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighted Path Psychological Services Llc 5926 Cecil Ave Gwynn Oak MD 21207-5012 Ph: (301) 318-0549 | Lighted Path Psychological Services Llc 5926 Cecil Ave Gwynn Oak MD 21207-5012 Ph: (301) 318-0549 |
| NPI Number | 1366105306 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366105306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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