Healthcare Provider Details

I. General information

NPI: 1073678983
Provider Name (Legal Business Name): TERRI L PARGOT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 01/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WOOD HILL RD SUITE 313
ROCKVILLE MD
20850-8724
US

IV. Provider business mailing address

200 WOOD HILL RD SUITE 313
ROCKVILLE MD
20850-8724
US

V. Phone/Fax

Practice location:
  • Phone: 301-838-4200
  • Fax: 301-610-8402
Mailing address:
  • Phone: 301-838-4200
  • Fax: 301-610-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7918
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberH0073836
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: