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Individual

DR. LOU A LICHTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
25 E PATRICK ST FL 2, FREDERICK, MD 21701-5993
(301) 401-2813
Mailing address
25 E PATRICK ST # 201, FREDERICK, MD 21701-5993
(301) 401-2813

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
2139
MD
103TC0700X
Clinical Psychologist
Primary
02139
MD
103TC0700X
Clinical Psychologist
2139
MD
103TC2200X
Clinical Child & Adolescent Psychologist
2139
MD
103TF0000X
Family Psychologist
2139
MD
103TP2701X
Group Psychotherapy Psychologist
2139
MD

Other

Enumeration date
01/08/2006
Last updated
07/16/2024
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