| Organization Name: | ADELE M ASIMOW PHD PA |
| NPI Number: | 1598774127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADELE MAN KUEN ASIMOW (PRESIDENT OF CORPORATION) |
| Mailing Address: | 19517 Gallatin Ct Montgomery Village |
| State: | MD US |
| Postal Code: | 20886 |
| Phone Number: | 3019775477 |
| Fax Number: | 3019907289 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 10/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 569 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |