Doctor Name: | COMFORT TETTEH |
NPI Number: | 1265749527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 16786 |
Business Practice Address: | 22099 Three Notch Rd 114 Lexington Park, MD - 206535531 |
Business Phone Number: | 2405612274 |
Business Fax Number: | |
Mailing Address: | 21075 Briar Patch Ln, 202 LEXINGTON PARK |
State: | MD |
Postal Code: | 206535201 |
Phone Number: | 2405612274 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 16786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |