Organization
FETHERSON & KNIGHT PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIANCA FETHERSON PH.D. (CLINICAL DIRECTOR/CO-OWNER)
(240) 929-4387
Entity
Organization
Contact information
Practice address
7404 EXECUTIVE PL STE 225B, LANHAM, MD 20706-6205
(240) 929-4387
(240) 929-4391
Mailing address
7404 EXECUTIVE PL STE 225B, LANHAM, MD 20706-6205
(240) 929-4387
(240) 929-4391
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
09/14/2019
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