Doctor Name: | MS. PATRICIA A TENANTY |
NPI Number: | 1942366323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 1355 |
Business Practice Address: | 1017 Windrush Ln #a Sandy Spring, MD - 208601358 |
Business Phone Number: | 3017742221 |
Business Fax Number: | 3015703504 |
Mailing Address: | 1017 Windrush Ln, #a SANDY SPRING |
State: | MD |
Postal Code: | 208601358 |
Phone Number: | 3017742221 |
Fax Number: | 3015703504 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |