Organization
NEW HOPE FOUNDATION FOR THE UNDERSERVED, INC.
Active
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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