Individual
DR. MARK MUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
10500 SUMMIT AVE, KENSINGTON, MD 20895-2422
(301) 897-2500
(301) 897-2333
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01638
MD
103TC0700X
Clinical Psychologist
0810002985
VA
103TP0016X
Prescribing (Medical) Psychologist
MP.1016
LA
Other
Enumeration date
12/04/2006
Last updated
01/03/2012
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