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Contact Information

LIFE QUALITY PSYCHIATRIC MULTI DISCIPLINARY GROUP, LLC
604 S FREDERICK AVE
SUITE 211
GAITHERSBURG, MD20877-1275
 Phone: 301-330-6470
 Fax: 301-330-6472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LIFE QUALITY PSYCHIATRIC MULTI DISCIPLINARY GROUP LLC · (Female)

NPI Number 1154693588
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2012
Last updated 02/01/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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