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Contact Information

AFFILIATED SANTE GROUP
4355 NICOLE DR
LANHAM, MD20706-4349
 Phone: 301-429-2171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AFFILIATED SANTE GROUP · (Female)

NPI Number 1013348267
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2013
Last updated 02/10/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 422027700
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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