Healthcare Provider Details
I. General information
NPI: 1770694127
Provider Name (Legal Business Name): NEW PERSPECTIVES PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5627 ALLENTOWN RD SUITE 205
CAMP SPRINGS MD
20746
US
IV. Provider business mailing address
5627 ALLENTOWN RD SUITE 205
CAMP SPRINGS MD
20746
US
V. Phone/Fax
- Phone: 301-899-1503
- Fax: 301-899-1504
- Phone: 301-899-1503
- Fax: 301-899-1504
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | 03996 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 03996 |
| License Number State | MD |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY1000202.R |
| License Number State | DC |
VIII. Authorized Official
Name:
BARBARA
QUINNEY
TOBIAS-HOLTZ
Title or Position: DIRECTOR LICENSEDCLINICAL PSYCHOLOG
Credential: PHD
Phone: 301-899-1503