Organization
CIRCLE TREATMENT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALIND GOLDFARB PH LCDC (OWNER DIRECTOR)
(301) 258-2626
Entity
Organization
Contact information
Practice address
3309 SHIRLEY LN, CHEVY CHASE, MD 20815-3906
(301) 258-2626
(301) 654-1612
Mailing address
3309 SHIRLEY LN, CHEVY CHASE, MD 20815-3906
(301) 258-2626
(301) 654-1612
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
MD2123
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4106
MD
103TC0700X
Clinical Psychologist
0810002291
VA
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116981500
—
MD
01
—
283821
MEDICARE PTAN
MD
Enumeration date
01/18/2006
Last updated
01/21/2021
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