Healthcare Provider Details

I. General information

NPI: 1447165956
Provider Name (Legal Business Name): ALPHA VETERAN EVALUATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3261 OLD WASHINGTON RD STE 2020-F
WALDORF MD
20602-3223
US

IV. Provider business mailing address

3261 OLD WASHINGTON RD STE 2020-F
WALDORF MD
20602-3223
US

V. Phone/Fax

Practice location:
  • Phone: 240-330-2648
  • Fax:
Mailing address:
  • Phone: 240-330-2648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEIDHRA PETER-THOMAS
Title or Position: CEO
Credential: FNP/PMHNP
Phone: 240-330-2648