Organization
FREDERICK PSYCHOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ALLEN GIBIAN PSY.D. (CO-OWNER)
(301) 695-6455
Entity
Organization
Contact information
Practice address
97 THOMAS JOHNSON DR, SUITE 202, FREDERICK, MD 21702-4373
(301) 695-6455
(301) 695-6456
Mailing address
97 THOMAS JOHNSON DR, SUITE 202, FREDERICK, MD 21702-4373
(301) 695-6455
(301) 695-6456
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
09/22/2008
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