| Molly Perkins Hauck, Ph.d., Llc | |
|
6209 Executive Blvd Rockville MD 20852-3906 | |
| (301) 881-4884 | |
| (301) 881-5447 |
| Full Name | Molly Perkins Hauck, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6209 Executive Blvd, Rockville, Maryland |
| Authorized Official Name and Position | Molly Perkins Hauck (PRESIDENT) |
| Authorized Official Contact | 3018814884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Perkins Hauck, Ph.d., Llc 6209 Executive Blvd Rockville MD 20852-3906 Ph: (301) 881-4884 | Molly Perkins Hauck, Ph.d., Llc 6209 Executive Blvd Rockville MD 20852-3906 Ph: (301) 881-4884 |
| NPI Number | 1336575760 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 09/26/2013 |
| Medicare PECOS PAC ID | 5597992420 |
|---|---|
| Medicare Enrollment ID | O20131220000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336575760 | NPI | - | NPPES |
| 101600800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 02128 (Maryland) | Primary |
| Provider Name | Molly Perkins Hauck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770646465 PECOS PAC ID: 3173568789 Enrollment ID: I20090212000016 |
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