Individual
LORETTA DULBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5480 WISCONSIN AVE, SUITE 222, CHEVY CHASE, MD 20815-3530
(716) 465-0552
Mailing address
5500 FRIENDSHIP BLVD APT 1623, CHEVY CHASE, MD 20815-7265
(716) 465-0552
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04892
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04892
PSYCHOLOGIST MARYLAND
MD
Enumeration date
03/21/2016
Last updated
03/21/2016
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