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Contact Information

BRAVO PSYCHOLOGICAL GROUP, LLC
800 S FREDERICK AVE STE 200
GAITHERSBURG, MD20877-4152
 Phone: 301-233-5020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRAVO PSYCHOLOGICAL GROUP LLC · (Female)

NPI Number 1902475973
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2021
Last updated 03/05/2026 - About 3 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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