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Organization
LAVENDER HILLS PSYCHOTHERAPY LLC
Active
Organization
LAVENDER HILLS PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA HENRIQUEZ PSY.D. (CLINICAL PSYCHOLOGIST)
(240) 230-6668
Entity
Organization
Contact information
Practice address
11140 ROCKVILLE PIKE STE 400, NORTH BETHESDA, MD 20852-3104
(240) 230-6668
Mailing address
11140 ROCKVILLE PIKE STE 400, N BETHESDA, MD 20852-3104
(240) 230-6668
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
05723
MD
Other
Enumeration date
07/16/2018
Last updated
01/24/2019
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