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NPI Code Detail

MEDICARE: DR. LAURA KURZIUS PHD

MEDICARE: DR. LAURA KURZIUS PHD
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
1103TC0700XClinical Psychologist06299MD

General Provider Information

NPI Number : 1902416159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA KURZIUS PHD
Provider Business Mailing Address
First Line : 5530 WISCONSIN AVE STE 1528
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-4300
Country : US
Telephone Number : 301-941-7529
Fax Number :
Provider Business Practice Location Address
First Line : 5530 WISCONSIN AVE STE 1528
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-4300
Country : US
Telephone Number : 301-941-7529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2020
Last Update Date : 08/03/2020

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