Doctor Name: | MS. JANICE GOLDWATER |
NPI Number: | 1740667674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 4187 |
Business Practice Address: | 4061 Powder Mill Rd Ste 320 Calverton, MD - 207053149 |
Business Phone Number: | 3014225125 |
Business Fax Number: | |
Mailing Address: | 4061 Powder Mill Rd Ste 320, CALVERTON |
State: | MD |
Postal Code: | 207053149 |
Phone Number: | 3014225125 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |