Individual
MARY NEAL VIETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
20797 RED ROSE CT, LEXINGTON PARK, MD 20653-2447
(301) 769-8081
Mailing address
PO BOX 222, PATUXENT RIVER, MD 20670-0222
(301) 769-8081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04514
MD
103TC0700X
Clinical Psychologist
20041604A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415557800
—
MD
Enumeration date
01/09/2006
Last updated
11/29/2021
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