Doctor Name: | DR. MARIE FONROSE |
NPI Number: | 1578839353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | LC3487 |
Business Practice Address: | 5010 Sunnyside Ave Ste 309 Beltsville, MD - 207052320 |
Business Phone Number: | 3014740060 |
Business Fax Number: | 3014740068 |
Mailing Address: | 5010 Sunnyside Ave Ste 309, BELTSVILLE |
State: | MD |
Postal Code: | 207052320 |
Phone Number: | 3014740060 |
Fax Number: | 3014740068 |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LC3487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |