Healthcare Provider Details

I. General information

NPI: 1285644351
Provider Name (Legal Business Name): PSYCHOLOGICAL SERVICES OF W MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 BISHOP WALSH ROAD SUITE 3
CUMBERLAND MD
21502
US

IV. Provider business mailing address

925 BISHOP WALSH ROAD SUITE 3
CUMBERLAND MD
21502
US

V. Phone/Fax

Practice location:
  • Phone: 301-777-0451
  • Fax: 301-777-3071
Mailing address:
  • Phone: 301-777-0451
  • Fax: 301-777-3071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KAREN LOUISE GOLDEN
Title or Position: PSYCHOLOGIST
Credential: EDD
Phone: 301-777-0451