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Individual

DR. PATRICIA NOWICKI THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1645 LIBERTY ROAD, SUITE 104, ELDERSBURG, MD 21784
(410) 795-4764
(410) 795-4462
Mailing address
3723 BIRCHMERE CT, OWINGS MILLS, MD 21117-1298
(443) 286-1107

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002867
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005982220
AETNA
01
002756
VALUE OPTIONS
01
055107000
MAGELLAN
01
100026127
AMERICAN PSYCH SYSTEMS AP
01
136507
COMPSYCH
01
214467
UNITED BEHAVIORAL HEALTH
01
22975
MAMSI
01
322069
MHN
01
353464
PHCS
01
52656001
CAREFIRST BLUE CROSS BLUE
01
GK03
CAREFIRST BLUE CROSS BLUE
01
R4390001
CAREFIRST BLUE CROSS BLUE
Enumeration date
11/06/2006
Last updated
02/04/2022
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