Doctor Name: | MR. BOBBY C MCQUEEN-BEY |
NPI Number: | 1952675696 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCADC |
License Number: | LCA1804 |
Business Practice Address: | 3404 Tulsa Rd Gwynn Oak, MD - 212076123 |
Business Phone Number: | 4107449043 |
Business Fax Number: | 4109445136 |
Mailing Address: | 3404 Tulsa Rd, GWYNN OAK |
State: | MD |
Postal Code: | 212076123 |
Phone Number: | 4107449043 |
Fax Number: | 4109445136 |
NPI Enumeration Date: | 02/27/2012 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LCA1804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |