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MARYLAND INSTITUTE FOR INDIVIDUAL & FAMILY THERAPY NPI 1124204854


NPI Information

NPI: 1124204854
Provider Name: MARYLAND INSTITUTE FOR INDIVIDUAL & FAMILY THERAPY

Other Name: MARYLAND INSTITUTE

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
7307 BALTIMORE AVE
SUITE 208
COLLEGE PARK, MD
ZIP 20740
Phone: (301) 277-3250
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MARYLAND INSTITUTE FOR INDIVIDUAL & FAMILY THERAPY is a clinical psychologist in College Park, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MARYLAND INSTITUTE FOR INDIVIDUAL & FAMILY THERAPY NPI is 1124204854. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Maryland Institute.

The provider's business location address is:

7307 BALTIMORE AVE
SUITE 208
COLLEGE PARK, MD
ZIP 20740-231
Phone: (301) 277-3250
Fax: (301) 927-8052

The provider's authorized official is David P Fago .
The authorized official title is Director and has the following contact phone number (301) 277-3250.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 1/11/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical01730MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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