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Individual

DR. MICHAEL WAYNE NOLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2480 LLEWELLYN AVE DEPT OF, FORT MEADE, MD 20755-7081
(301) 677-8895
Mailing address
2480 LLEWELLYN AVE DEPT OF, FORT MEADE, MD 20755-7081
(301) 677-8895

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3990
MD
103TC0700X
Clinical Psychologist
Primary
3990
MD
103TC2200X
Clinical Child & Adolescent Psychologist
3990
MD
103TP2701X
Group Psychotherapy Psychologist
3990
MD

Other

Enumeration date
03/06/2007
Last updated
03/16/2023
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