| Ronald D Wynne Phd | |
|
3602 Littledale Rd Kensington MD 20895 | |
| (240) 277-7800 | |
| (301) 942-4807 |
| Full Name | Ronald D Wynne Phd |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3602 Littledale Rd, Kensington, Maryland |
| Authorized Official Name and Position | Ronald David Wynne (PRESIDENT) |
| Authorized Official Contact | 3015888881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald D Wynne Phd Po Box 1104 Silver Spring MD 20911 Ph: (240) 277-7800 | Ronald D Wynne Phd 3602 Littledale Rd Kensington MD 20895 Ph: (240) 277-7800 |
| NPI Number | 1689710022 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689710022 | NPI | - | NPPES |
| 33486100 | Medicaid | MD | |
| MD04 | Medicaid | DC | |
| 02644840 | Medicaid | DC | |
| 02146030 | Medicaid | DC | |
| 4382 | Other | CAREFIRST | |
| 98411050 | Medicaid | MD | |
| 328494 | Other | MANAGED HEALTH NETWORK | |
| 56851 | Other | MAGELLAN EAP | |
| 7180237 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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