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Contact Information

FAMILY SERVICE FOUNDATION, INC
306 DELAWARE ROAD
FREDERICK, MD21701-4618
 Phone: 301-378-0261
 Fax: 301-378-0267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FAMILY SERVICE FOUNDATION INC · (Female)

NPI Number 1093039182
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2010
Last updated 09/19/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 4163
  • MD Medicaid 320741200
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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