MR. Juan Amilcar Villalta III, PSYCHOLOGY ASSOCIATE

NPI #1588130660 in Millersville, Maryland

Provider Information

NPI Number: 1588130660
Entity Type: Individual
Name: MR. Juan Amilcar Villalta III, PSYCHOLOGY ASSOCIATE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYCHOLOGY ASSOCIATE
Enumeration Date: Oct 16, 2018
Last Updated: Oct 29, 2024

Practice Location

Address: 8229 CLOVERLEAF DR STE 425
City: Millersville
State: Maryland
ZIP Code: 21108-1594
Phone: (301) 775-6714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - School — School	103TS0200X

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