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Individual

DR. KATHRYN M. RICKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3720 FARRAGUT AVE., SUITE 103, KENSINGTON, MD 20895-2110
(202) 413-3124
(202) 237-2730
Mailing address
3720 FARRAGUT AVE., SUITE 103, KENSINGTON, MD 20895-2110
(202) 413-3124
(202) 237-2730

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04465
MD
103T00000X
Psychologist
PSY1000376
DC
103TC0700X
Clinical Psychologist
PSY1000376
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0162051-01
MD
Enumeration date
06/15/2007
Last updated
02/17/2010
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