Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK J HUDAK JR. PH.,D. (DIRECTOR/OWNER)
(410) 576-9191
Entity
Organization
Contact information
Practice address
981 RUSSELL AVE, GAITHERSBURG, MD 20879-6219
(301) 840-1432
(301) 840-1723
Mailing address
981 RUSSELL AVE, GAITHERSBURG, MD 20879-6219
(301) 840-1432
(301) 840-1723
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094981710
—
MD
Enumeration date
11/18/2009
Last updated
11/18/2009
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