Healthcare Provider Details

I. General information

NPI: 1598157455
Provider Name (Legal Business Name): MARIAM CHOHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 ALEXANDER BELL DR STE 200
COLUMBIA MD
21046-2105
US

IV. Provider business mailing address

9707 KEY WEST AVE STE 100
ROCKVILLE MD
20850-3992
US

V. Phone/Fax

Practice location:
  • Phone: 410-705-0227
  • Fax: 646-859-4440
Mailing address:
  • Phone: 240-750-6467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number07606
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA0657
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: