Organization
PSYCHOGERIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ADAMS (SUPPORT/HR LEADER)
(301) 593-1315
Entity
Organization
Contact information
Practice address
12073 TECH RD STE B, SILVER SPRING, MD 20904-7874
(301) 593-1315
Mailing address
12073 TECH RD STE B, SILVER SPRING, MD 20904-7874
(301) 593-1315
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05652
MD
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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