Organization
XISTO PSYCHOLOGY LLC
Active
Organization
XISTO PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA XISTO (MANAGING PSYCHOLOGIST AND FOUNDER)
(410) 777-5709
Entity
Organization
Contact information
Practice address
14415 CANNOCK CHASE, LAUREL, MD 20707
(410) 777-5709
Mailing address
14280 BALTIMORE AVE # 1175, LAUREL, MD 20707-5006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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