Healthcare Provider Details

I. General information

NPI: 1538825484
Provider Name (Legal Business Name): MERYL SIRMANS HEYLIGER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7303 HANOVER PKWY STE C
GREENBELT MD
20770-2029
US

IV. Provider business mailing address

7303 HANOVER PKWY STE C
GREENBELT MD
20770-2029
US

V. Phone/Fax

Practice location:
  • Phone: 301-441-2525
  • Fax:
Mailing address:
  • Phone: 301-441-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number06027
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: