Maryland Institute for Individual & Family Therapy
NPI #1124204854 in College Park, Maryland
Provider Information
- NPI Number
- 1124204854
- Entity Type
- Organization
- Organization Name
- Maryland Institute for Individual & Family Therapy
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jan 11, 2008
- Last Updated
- Jan 11, 2008
Practice Location
- Address
- 7307 BALTIMORE AVE
- Address 2
- SUITE 208
- City
- College Park
- State
- Maryland
- ZIP Code
- 20740-3231
- Phone
- (301) 277-3250
Authorized Official
- Name
- DR. DAVID P FAGO, PH.D.
- Title
- DIRECTOR
- Phone
- (301) 277-3250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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