Healthcare Provider Details
I. General information
NPI: 1932004223
Provider Name (Legal Business Name): POTOMAC PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 TRAIL HOUSE CT
ROCKVILLE MD
20850-2953
US
IV. Provider business mailing address
8 TRAIL HOUSE CT
ROCKVILLE MD
20850-2953
US
V. Phone/Fax
- Phone: 908-331-0198
- Fax:
- Phone: 908-331-0198
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
LAUREN
WILLIAMS
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 908-331-0198