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Organization
UNIVERSITY PSYCHOLOGICAL CENTER
Active
Organization
UNIVERSITY PSYCHOLOGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK J HUDAK JR. PH.D. (PRESEIDENT/CEO)
(410) 576-9191
Entity
Organization
Contact information
Practice address
425 E PATRICK ST, FREDERICK, MD 21701-5729
(410) 576-9191
Mailing address
6201 GREENBELT RD STE U18, BERWYN HEIGHTS, MD 20740-2361
(301) 345-1919
(301) 345-5779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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