Doctor Name: | DR. PAUL M. GEDO |
NPI Number: | 1003021924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 2515 |
Business Practice Address: | 7 Owens Ct Rockville, MD - 208502125 |
Business Phone Number: | 3012946515 |
Business Fax Number: | 3012519586 |
Mailing Address: | 7 Owens Ct, ROCKVILLE |
State: | MD |
Postal Code: | 208502125 |
Phone Number: | 3012946515 |
Fax Number: | 3012519586 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |