Organization
NEW HOPE FOUNDATION FOR THE UNDERSERVED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R. ALLEN LISH PSY.D. (TRUSTEE)
(301) 620-8700
Entity
Organization
Contact information
Practice address
10 N JEFFERSON ST, SUITE 403, FREDERICK, MD 21701-3500
(301) 696-8880
Mailing address
10 N JEFFERSON ST, SUITE 403, FREDERICK, MD 21701-3500
(301) 696-8880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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