Healthcare Provider Details

I. General information

NPI: 1669444386
Provider Name (Legal Business Name): INGRID CHARMAINE LIM PSY D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: INGRID CHARMAINE LIM JURICH PSY. D.

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-2805
  • Fax:
Mailing address:
  • Phone: 301-319-2805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1205
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1205
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: