Maryland Institute | |
7307 Baltimore Ave Suite 208 College Park MD 20740-3231 | |
(301) 277-3250 | |
(301) 927-8052 |
Full Name | Maryland Institute |
---|---|
Speciality | Psychologist - Clinical |
Location | 7307 Baltimore Ave, College Park, Maryland |
Authorized Official Name and Position | David P Fago (DIRECTOR) |
Authorized Official Contact | 3012773250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maryland Institute 7307 Baltimore Ave Suite 208 College Park MD 20740-3231 Ph: (301) 277-3250 | Maryland Institute 7307 Baltimore Ave Suite 208 College Park MD 20740-3231 Ph: (301) 277-3250 |
NPI Number | 1124204854 |
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Provider Enumeration Date | 01/11/2008 |
Last Update Date | 01/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124204854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 01730 (Maryland) | Primary |
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