Organization
D.A. WYNNE & ASSOCIATES,INC.
Active
Other names
The Silver Spring Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH C KRUEGER LCSW-C (CLINICAL DIRECTOR)
(301) 439-6700
Entity
Organization
Contact information
Practice address
10230 NEW HAMPSHIRE AVE STE 206, SILVER SPRING, MD 20903-1423
(301) 439-6700
Mailing address
10230 NEW HAMPSHIRE AVE STE 206, SILVER SPRING, MD 20903-1423
(301) 439-6700
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954067900
—
MD
Enumeration date
11/02/2018
Last updated
11/02/2018
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