Organization
SAMORAJCZYK PSYCHOLOGICAL SERVICES PA
Active
Organization
SAMORAJCZYK PSYCHOLOGICAL SERVICES PA
Active
Parent organization
SAMORAJCZYK PSYCHOLOGICAL SERVICES PA
Other names
Samorajczyk Psychological Services, Inc PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMORAJCZYK PSYCHOLOGICAL SERVICES PA
Authorized official
DR. JOHN F SAMORAJCZYK PHD (PSYCHOLOGIST)
(301) 869-1755
Entity
Organization
Contact information
Practice address
19205 SENECA RIDGE CT, GAITHERSBURG, MD 20886-3921
(301) 869-1755
(410) 266-5950
Mailing address
19205 SENECA RIDGE CT, GAITHERSBURG, MD 20886-3921
(301) 869-1755
(410) 266-5950
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00497
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053380
VALUE OPTIONS-BLUE CROSS BLUE SHIELD
MD
01
—
145425100
DEPARTMENT OF LABOR
MD
01
—
5604
CARE FIRST BLUE CROSS
MD
01
—
56040001
CARE FIRST BLUE CHOICE
MD
Enumeration date
11/05/2010
Last updated
11/05/2010
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