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Individual

CARA DEPP DEHGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
491 WHETSTONE GLEN ST, GAITHERSBURG, MD 20877-3337
(202) 569-8838
Mailing address
162 HIDDEN FOREST CT, GAITHERSBURG, MD 20877-3545
(971) 352-2694

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06275
MD
103TC0700X
Clinical Psychologist
0810006135
VA
103TC0700X
Clinical Psychologist
2285
OR
103TC0700X
Clinical Psychologist
PSY1001527
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000WDBCH
GROUP MEDICARE NUMBER
OR
05
164936
OR
Enumeration date
09/14/2011
Last updated
06/01/2021
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