Organization
BEHAVIOR THERAPY CENTER OF GREATER WASHINGTON, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S MANSUETO PH.D. (LICENSED PSYCHOLOGIST AND DIRECTOR)
(301) 593-4040
Entity
Organization
Contact information
Practice address
11227 LOCKWOOD DR, SILVER SPRING, MD 20901-4562
(301) 593-4040
(301) 593-9148
Mailing address
11227 LOCKWOOD DR, SILVER SPRING, MD 20901-4562
(301) 593-4040
(301) 593-9148
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
103TB0200X
MD
Other
Enumeration date
05/21/2007
Last updated
01/04/2010
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