Healthcare Provider Details

I. General information

NPI: 1922496694
Provider Name (Legal Business Name): MOLLY MEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 N LAUREL RD
LAUREL MD
20723-1660
US

IV. Provider business mailing address

9752 GINGERWOOD DR
ELLICOTT CITY MD
21042-2324
US

V. Phone/Fax

Practice location:
  • Phone: 410-880-5960
  • Fax:
Mailing address:
  • Phone: 301-661-1474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: