Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK J HUDAK JR. PH.D. (PRESIDENT/CEO)
(410) 576-9191
Entity
Organization
Contact information
Practice address
425 E PATRICK ST, FREDERICK, MD 21701-5729
(301) 662-7003
(301) 694-8527
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
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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