Healthcare Provider Details

I. General information

NPI: 1568382869
Provider Name (Legal Business Name): DR. KIMBERLY DIGIORGIO, LCP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11420 MAID AT ARMS LN
BERLIN MD
21811-1642
US

IV. Provider business mailing address

PO BOX 1571
BERLIN MD
21811-5571
US

V. Phone/Fax

Practice location:
  • Phone: 301-676-0170
  • Fax:
Mailing address:
  • Phone: 301-676-0170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY DIGIORGIO
Title or Position: OWNER/CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 301-676-0170