| University Psychological Center, Inc. | |
|
981 Russell Ave Gaithersburg MD 20879-6219 | |
| (301) 840-1432 | |
| (301) 840-1723 |
| Full Name | University Psychological Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 981 Russell Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Clark J Hudak (DIRECTOR/OWNER) |
| Authorized Official Contact | 4105769191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Psychological Center, Inc. 981 Russell Ave Gaithersburg MD 20879-6219 Ph: (301) 840-1432 | University Psychological Center, Inc. 981 Russell Ave Gaithersburg MD 20879-6219 Ph: (301) 840-1432 |
| NPI Number | 1710215413 |
|---|---|
| Provider Enumeration Date | 11/18/2009 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710215413 | NPI | - | NPPES |
| 094981710 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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