| Xisto Psychology Llc | |
|
14415 Cannock Chase Laurel MD 20707 | |
| (410) 777-5709 | |
| Not Available |
| Full Name | Xisto Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 14415 Cannock Chase, Laurel, Maryland |
| Authorized Official Name and Position | Andrea Xisto (MANAGING PSYCHOLOGIST AND FOUNDER) |
| Authorized Official Contact | 4107775709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xisto Psychology Llc 14280 Baltimore Ave # 1175 Laurel MD 20707-5006 Ph: () - | Xisto Psychology Llc 14415 Cannock Chase Laurel MD 20707 Ph: (410) 777-5709 |
| NPI Number | 1669241832 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669241832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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