Organization
CITY PARK PSYCHOLOGICAL SERVICES & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOU A LICHTI PH.D. (OWNER/PSYCHOLOGIST)
(301) 401-2813
Entity
Organization
Contact information
Practice address
209 W PATRICK ST, FREDERICK, MD 21701-5515
(301) 401-2813
Mailing address
209 W PATRICK ST, FREDERICK, MD 21701-5515
(301) 401-2813
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2139
MD
Other
Enumeration date
06/29/2011
Last updated
08/07/2012
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