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Contact Information

ACTIVE PSYCHOLOGY AND WELLNESS
1750 MONOCACY BLVD STE A
FREDERICK, MD21701-5151
 Phone: 914-261-9295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ACTIVE PSYCHOLOGY AND WELLNESS · (Female)

NPI # 1174484844
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2025
Last updated 11/20/2025 - About 7 months 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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