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NPI Code Detail

MEDICARE: MS. DANA SKOLNICK WIZEMAN LPC

MEDICARE: MS. DANA SKOLNICK WIZEMAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1669240008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANA SKOLNICK WIZEMAN LPC
Provider Business Mailing Address
First Line : 1910 TOWNE CENTRE BLVD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3598
Country : US
Telephone Number : 718-344-3217
Fax Number :
Provider Business Practice Location Address
First Line : 1910 TOWNE CENTRE BLVD STE 250
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3599
Country : US
Telephone Number : 443-732-0773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2023
Last Update Date : 05/21/2026

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