Healthcare Provider Details

I. General information

NPI: 1992546352
Provider Name (Legal Business Name): HANNAH KAMSHEH LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2024
Last Update Date: 06/01/2024
Certification Date: 06/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10339 SOUTHERN MARYLAND BLVD STE 211
DUNKIRK MD
20754-3018
US

IV. Provider business mailing address

7239 CHESAPEAKE VILLAGE BLVD
CHESAPEAKE BEACH MD
20732-4137
US

V. Phone/Fax

Practice location:
  • Phone: 301-327-5417
  • Fax:
Mailing address:
  • Phone: 410-463-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: