| Neuroplacid Psychotherapy Inc. | |
|
11108 Broad Green Dr Potomac MD 20854-2021 | |
| (301) 299-2921 | |
| Not Available |
| Full Name | Neuroplacid Psychotherapy Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11108 Broad Green Dr, Potomac, Maryland |
| Authorized Official Name and Position | Bahar Javadi (OWNER) |
| Authorized Official Contact | 3017179989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroplacid Psychotherapy Inc. 11108 Broad Green Dr Potomac MD 20854-2021 Ph: (301) 299-2921 | Neuroplacid Psychotherapy Inc. 11108 Broad Green Dr Potomac MD 20854-2021 Ph: (301) 299-2921 |
| NPI Number | 1770118119 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770118119 | NPI | - | NPPES |
| 095112900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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