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Contact Information

FAMILY HEALTH CENTER
3415 HAMILTON ST
SUITE 9
HYATTSVILLE, MD20782-3953
 Phone: 301-779-2461
 Fax: 301-779-6095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for FAMILY HEALTH CENTER · (Female)

NPI # 1316126121
Status Active
Credentials
Entity Individual
Enumeration date 10/29/2007
Last updated 12/07/2020 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # LC0295
  • MD Medicaid 410291600
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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