Organization
MARY ATWATER, PSY.D., LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ATWATER PSY.D. (OWNER)
(301) 807-8417
Entity
Organization
Contact information
Practice address
4828 WEST LN, STE B, BETHESDA, MD 20814-6338
(301) 807-8417
Mailing address
5604 RIDGEFIELD RD, BETHESDA, MD 20816-1253
(301) 807-8417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
04053
MD
103TA0700X
Adult Development & Aging Psychologist
04053
MD
103TB0200X
Cognitive & Behavioral Psychologist
Primary
04053
MD
103TC0700X
Clinical Psychologist
04053
MD
103TC2200X
Clinical Child & Adolescent Psychologist
04053
MD
103TF0000X
Family Psychologist
04053
MD
106H00000X
Marriage & Family Therapist
04053
MD
Other
Enumeration date
02/09/2007
Last updated
09/11/2025
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