Individual
NANCY WUNDERLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8929 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(301) 869-8500
(301) 869-1263
Mailing address
8929 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02941
MD
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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