MARYLAND CENTER FOR GENDER & INTIMACY NPI 1003453366

NPI Information

MARYLAND CENTER FOR GENDER & INTIMACY is a mental health (including community mental health center) clinic center in Frederick, MD. MARYLAND CENTER FOR GENDER & INTIMACY NPI is 1003453366. The provider is registered as an organization entity type.

The provider's business location address is:

319 W PATRICK ST
FREDERICK, MD
ZIP 21701-855
Phone: (301) 360-4349

The provider's authorized official is Kate Macshane .
The authorized official title is Psychotherapist & Clinical Director and has the following contact phone number (301) 360-4349.

The CLIA number assigned to this NPI record is 21D2220475 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 12/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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