Organization
INSIGHT THERAPEUTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYDNEY NICOLE BRYSON LCPC (LICENSED COUNSELOR)
(301) 646-9666
Entity
Organization
Contact information
Practice address
1995 YORKSHIRE LN, WALDORF, MD 20603-3885
(301) 646-9666
Mailing address
1995 YORKSHIRE LN, WALDORF, MD 20603-3885
(301) 646-9666
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC2609
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847609
—
MD
Enumeration date
11/11/2016
Last updated
11/11/2016
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