Healthcare Provider Details
I. General information
NPI: 1508761701
Provider Name (Legal Business Name): MONTGOMERY PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2919 OLNEY SANDY SPRING RD STE A
OLNEY MD
20832-1587
US
IV. Provider business mailing address
21021 BROOKE KNOLLS RD
GAITHERSBURG MD
20882-4321
US
V. Phone/Fax
- Phone: 240-324-7920
- Fax:
- Phone: 301-525-8132
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MARGARET
MARY
FEERICK
Title or Position: FOUNDER & LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 240-324-7920