Organization
MICHAEL GAROFANO, PH.D., LLC
Active
Organization
MICHAEL GAROFANO, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GAROFANO (PRESIDENT)
(828) 713-7142
Entity
Organization
Contact information
Practice address
801 TOLL HOUSE AVE, SUITE A-3, FREDERICK, MD 21701-4564
(301) 663-1411
Mailing address
801 TOLL HOUSE AVE, SUITE A-3, FREDERICK, MD 21701-4564
(301) 663-1411
(301) 663-1412
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
04034
MD
103G00000X
Clinical Neuropsychologist
2772
NC
103T00000X
Psychologist
04034
MD
103T00000X
Psychologist
2772
NC
103TH0004X
Health Psychologist
04034
MD
103TH0004X
Health Psychologist
2772
NC
Other
Enumeration date
08/25/2007
Last updated
02/19/2008
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