Healthcare Provider Details

I. General information

NPI: 1871534974
Provider Name (Legal Business Name): PSYCHOLOGICAL OFFICES OF DORIS C. GARNER, PH.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 04/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 FOLLOW DITCH RD
WESTOVER MD
21871-3024
US

IV. Provider business mailing address

8420 FOLLOW DITCH ROAD
WESTOVER MD
21871-3024
US

V. Phone/Fax

Practice location:
  • Phone: 410-957-3501
  • Fax:
Mailing address:
  • Phone: 410-957-3501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number02514
License Number StateMD

VIII. Authorized Official

Name: DR. DORIS C GARNER
Title or Position: OWNER
Credential: PH.D.
Phone: 410-957-3105