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Organization

AFFILIATED PSYCHOLOGISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARSHA D. SOMERS PH.D. (PSYCHOLOGIST)
(301) 625-7612
Entity
Organization

Contact information

Practice address
312 W CHESAPEAKE AVE, 2ND FLOOR, EAST, TOWSON, MD 21204-4410
(443) 681-7269
(240) 491-9587
Mailing address
1604 FEATHERWOOD ST, SILVER SPRING, MD 20904-6639
(301) 625-7612

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03717
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03717
PSYCHOLOGIST LICENSE #
01
461LM697
MEDICARE PROVIDER NUMBER
MD
Enumeration date
11/09/2010
Last updated
11/09/2010
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