FREDERICK PSYCHOLOGY CENTER LLC NPI 1588685465

NPI Information

  • NPI: 1588685465
  • Provider Name: FREDERICK PSYCHOLOGY CENTER LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 97 THOMAS JOHNSON DR
    SUITE 202
    FREDERICK, MD
    ZIP 21702
  • Phone: (301) 695-6455

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NPI Details

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 enumeration date for this NPI number is 7/23/2006 and was last updated on 9/22/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

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This page was last updated on: 11/21/2025

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