New Horizons Psychological Services Llc | |
10312 Old Fort Road Fort Washington MD 20744 | |
(301) 292-3994 | |
(304) 725-3461 |
Full Name | New Horizons Psychological Services Llc |
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Speciality | Psychologist |
Location | 10312 Old Fort Road, Fort Washington, Maryland |
Authorized Official Name and Position | Bonnie Lee Bryant (DIRECTOR) |
Authorized Official Contact | 5715949622 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Horizons Psychological Services Llc 10312 Old Fort Road Fort Washington MD 20744 Ph: (301) 292-3994 | New Horizons Psychological Services Llc 10312 Old Fort Road Fort Washington MD 20744 Ph: (301) 292-3994 |
NPI Number | 1053403386 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 12/05/2014 |
Medicare PECOS PAC ID | 7719979483 |
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Medicare Enrollment ID | O20040401001010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053403386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 02802 (Maryland) | Primary |
Provider Name | Bonnie L Bryant |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760429088 PECOS PAC ID: 1456450287 Enrollment ID: I20111227000603 |
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