| Sophia Coudenhove Psychotherapy, Llc | |
|
4963 Elm St Ste 108 Bethesda MD 20814 | |
| (202) 821-5562 | |
| Not Available |
| Full Name | Sophia Coudenhove Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4963 Elm St Ste 108, Bethesda, Maryland |
| Authorized Official Name and Position | Sophia Coudenhove (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2028215562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Coudenhove Psychotherapy, Llc 4963 Elm St Ste 108 Bethesda MD 20814-2940 Ph: (202) 821-5562 | Sophia Coudenhove Psychotherapy, Llc 4963 Elm St Ste 108 Bethesda MD 20814 Ph: (202) 821-5562 |
| NPI Number | 1285121681 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 06/07/2018 |
| Medicare PECOS PAC ID | 0941555882 |
|---|---|
| Medicare Enrollment ID | O20180619000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285121681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16398 (Maryland) | Primary |
| Provider Name | Sophia B Coudenhove-kalergi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124515002 PECOS PAC ID: 5496000333 Enrollment ID: I20180619000265 |
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