Organization
INSIDEOUT PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M RENEE MOTTENON-THOMPSON PSYD (OWNER/OPERATOR)
(301) 275-6737
Entity
Organization
Contact information
Practice address
2811 PUMPKIN ST, CLINTON, MD 20735-1063
(301) 275-6737
Mailing address
2811 PUMPKIN ST, CLINTON, MD 20735-1063
(301) 275-6737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05186
MD
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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