Organization Name: | NEW HORIZONS PSYCHOLOGICAL SERVICES LLC |
NPI Number: | 1053403386 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BONNIE LEE BRYANT (DIRECTOR) |
Mailing Address: | 10312 Old Fort Road Fort Washington |
State: | MD US |
Postal Code: | 20744 |
Phone Number: | 3012923994 |
Fax Number: | 3047253461 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 12/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |