Kaiser Permanente

NPI #1114291234 in Kensington, Maryland

Provider Information

NPI Number
1114291234
Entity Type
Organization
Organization Name
Kaiser Permanente
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Mar 7, 2012
Last Updated
Mar 7, 2012

Practice Location

Address
10500 SUMMIT AVENUE
ZIP Code
20895
Phone
(301) 897-2500

Authorized Official

Name
BARRY LEE FORREST, LCSW-C
Title
PSYCHOTHERAPIST II
Phone
(240) 620-1399

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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