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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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