Basics Group Practice, LLC

NPI #1134486079 in Forestville, Maryland

Provider Information

NPI Number: 1134486079
Entity Type: Organization
Organization Name: Basics Group Practice, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 17, 2012
Last Updated: Apr 17, 2012

Practice Location

Address: 7610 PENNSYLVANIA AVE
Address 2: SUITE #203
City: Forestville
State: Maryland
ZIP Code: 20747-4701
Phone: (301) 420-1972

Authorized Official

Name: DANIEL N FEREBEE
Title: CEO
Phone: (301) 420-1972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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