# INTERDYNAMICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013251826
- **Authorized official:** DR. JAMES MOSES BALLARD JR. (PSYCHOLOGY)
- **Authorized official phone:** (301) 306-4590

## Contact information

- **Practice address:** 4601 FORBES BLVD, LANHAM, MD 20706-4807
- **Practice address phone:** (301) 306-4590
- **Practice address fax:** (301) 306-4591
- **Mailing address:** 4601 FORBES BLVD, LANHAM, MD 20706-4807
- **Mailing address phone:** (301) 306-4590
- **Mailing address fax:** (301) 306-4591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 01160 | MD | Yes |
| 101YM0800X | Mental Health Counselor | PSY354 | DC | — |
| 101YP2500X | Professional Counselor | 01160 | MD | — |
| 103T00000X | Psychologist | 01160 | MD | — |
| 103T00000X | Psychologist | PSY354 | DC | — |
| 103TA0700X | Adult Development & Aging Psychologist | PSY354 | DC | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 01160 | MD | — |
| 103TC0700X | Clinical Psychologist | 01160 | MD | — |
| 103TC0700X | Clinical Psychologist | PSY354 | DC | — |
| 103TC1900X | Counseling Psychologist | 01160 | MD | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 01160 | MD | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY354 | DC | — |
| 103TF0000X | Family Psychologist | 01160 | MD | — |
| 106H00000X | Marriage & Family Therapist | 01160 | MD | — |
| 106H00000X | Marriage & Family Therapist | PSY354 | DC | — |

## Other

- **Enumeration date:** 11/16/2012
- **Last updated:** 11/16/2012