Organization
MID-ATLANTIC PSYCHOLOGICAL SERVICES
Active
Organization
MID-ATLANTIC PSYCHOLOGICAL SERVICES
Active
Parent organization
MID-ATLANTIC CHILDREN'S SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-ATLANTIC CHILDREN'S SERVICES, INC
Authorized official
DR. CHRISTOPHER BISHOP PSY.D., LCSW-C (CEO/PRESIDENT)
(240) 297-9857
Entity
Organization
Contact information
Practice address
4700 BERWYN HOUSE RD, COLLEGE PARK, MD 20740-2474
(240) 297-9857
Mailing address
9900 GREENBELT RD, E-293, LANHAM, MD 20706-2255
(240) 297-9857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04422
MD
103TC2200X
Clinical Child & Adolescent Psychologist
04422
MD
103TF0000X
Family Psychologist
04422
MD
103TF0200X
Forensic Psychologist
04422
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
04422
MD
103TP2701X
Group Psychotherapy Psychologist
04422
MD
1041C0700X
Clinical Social Worker
11809
MD
1041C0700X
Clinical Social Worker
LC3000754
DC
Other
Enumeration date
05/16/2013
Last updated
05/17/2013
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