| Doctor Name: | MS. CARLYANNE PHIPPS ROHDE |
| NPI Number: | 1083917686 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | PSY1000657 |
| Business Practice Address: | 1380 Progress Way Suite 101 Eldersburg, MD - 217846464 |
| Business Phone Number: | 4105495181 |
| Business Fax Number: | 4105495182 |
| Mailing Address: | 1380 Progress Way, Suite 101 ELDERSBURG |
| State: | MD |
| Postal Code: | 217846464 |
| Phone Number: | 4105495181 |
| Fax Number: | 4105495182 |
| NPI Enumeration Date: | 12/21/2010 |
| NPI Last Update Date: | 12/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY1000657 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |