FREDERICK PSYCHOLOGY CENTER LLC is a mental health (including community mental health center) clinic center in Frederick, MD. FREDERICK PSYCHOLOGY CENTER LLC NPI is 1588685465. The provider is registered as an organization entity type.
The provider's business location address is:
97 THOMAS JOHNSON DR
SUITE 202
FREDERICK, MD
ZIP 21702-373
Phone: (301) 695-6455
Fax: (301) 695-6456
The provider's authorized official is Timothy Allen Gibian .
The authorized official title is Co-owner and has the following contact phone number (301) 695-6455.
The CLIA number assigned to this NPI record is 21D2283813 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/23/2006 and was last updated on 9/22/2008.