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Contact Information

ANTONIO MOODY
7474 GREENBELT CENTER DRIVE
GREENBELT, MD20770
 Phone: 240-304-3327
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ANTONIO MOODY · (Male)

NPI # 1245884519
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2019
Last updated 07/25/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # LGP9282
  • MD Medicaid 101YP2500X
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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