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Individual

DR. ROBERT JOSHUA WINGFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4357 NORTHVIEW DR, BOWIE, MD 20716-2603
(301) 922-7012
Mailing address
4513 32ND STREET, MOUNT RAINIER, MD 20712
(301) 922-7012

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05527
MD
103T00000X
Psychologist
1001085
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05527
MARYLAND DEPARTMENT OF HEALTH
MD
01
1001085
DC DEPARTMENT OF HEALTH
DC
05
801004B00
MD
Enumeration date
07/23/2012
Last updated
01/06/2022
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