Individual
DYUTI GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA, MPS
Contact information
Practice address
8630 FENTON ST STE 328, SILVER SPRING, MD 20910-3816
(818) 593-9313
Mailing address
8630 FENTON ST STE 328, SILVER SPRING, MD 20910-3816
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSYA00450
DC
Other
Enumeration date
04/30/2021
Last updated
06/01/2022
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