| Thomas Mould | |
|
1 Church St Suite 206 Rockville MD 20850-4158 | |
| (240) 314-0692 | |
| Not Available |
| Full Name | Thomas Mould |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1 Church St, Rockville, Maryland |
| Authorized Official Name and Position | Thomas Mathew Mould (PRACTIONER) |
| Authorized Official Contact | 2403140692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Mould 1 Church St Suite 206 Rockville MD 20850-4158 Ph: (240) 314-0692 | Thomas Mould 1 Church St Suite 206 Rockville MD 20850-4158 Ph: (240) 314-0692 |
| NPI Number | 1164892121 |
|---|---|
| Provider Enumeration Date | 10/03/2015 |
| Last Update Date | 10/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164892121 | NPI | - | NPPES |
| 043421300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1102338 (Maryland) | Primary |
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