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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

NPI # 1205079746
LBN Legal business name COQUUS
Authorized official PATRICIA VANCE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2009
Last updated 06/24/2009 - About 17 years ago
Identifiers
MD License # 02983
MD License # 05567
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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