Organization
MOLLY PERKINS HAUCK, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY PERKINS HAUCK PH.D. (PRESIDENT)
(301) 881-4884
Entity
Organization
Contact information
Practice address
3900 DECATUR AVE, KENSINGTON, MD 20895-1531
(301) 881-4884
(301) 881-5447
Mailing address
3900 DECATUR AVE, KENSINGTON, MD 20895-1531
(301) 881-4884
(301) 881-5447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
02128
MD
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101600800
—
MD
Enumeration date
09/17/2013
Last updated
02/06/2025
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