| Michael Gugerty, Psy.d. Llc | |
|
6525 N. Charles St. Gibson Building Suite 135 Towson MD 21204 | |
| (443) 991-5938 | |
| (667) 206-2186 |
| Full Name | Michael Gugerty, Psy.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6525 N. Charles St., Towson, Maryland |
| Authorized Official Name and Position | Michael Gugerty (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4439915938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gugerty, Psy.d. Llc 6525 N. Charles St. Gibson Building Suite 135 Towson MD 21204 Ph: (443) 991-5938 | Michael Gugerty, Psy.d. Llc 6525 N. Charles St. Gibson Building Suite 135 Towson MD 21204 Ph: (443) 991-5938 |
| NPI Number | 1831747054 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 08/30/2019 |
| Medicare PECOS PAC ID | 2062743982 |
|---|---|
| Medicare Enrollment ID | O20191008001175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831747054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael Gugerty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356482244 PECOS PAC ID: 9335334606 Enrollment ID: I20101111001311 |
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