| Doctor Name: | DR. THEODORE MORGAN NNAJI |
| NPI Number: | 1154623395 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | 018892 |
| Business Practice Address: | 41900 Fenwick St Leonardtown, MD - 206503814 |
| Business Phone Number: | 3014758860 |
| Business Fax Number: | 3016099091 |
| Mailing Address: | Po Box 2924, LA PLATA |
| State: | MD |
| Postal Code: | 206462984 |
| Phone Number: | 3014758860 |
| Fax Number: | 3016099091 |
| NPI Enumeration Date: | 11/20/2010 |
| NPI Last Update Date: | 10/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 018892 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |