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Contact Information

COQUUS
21 INDUSTRIAL PARK DR
SUITE 202 F
WALDORF, MD20602-2751
 Phone: 301-848-0461
 Fax: 301-885-0922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for COQUUS · (Female)

NPI Number 1205079746
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2009
Last updated 06/24/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 02983
  • MD License # 05567
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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