Physician Compare National (NPI:1912039157)

HEALTHCARE PROVIDER: DUSTIN FORRESTER SENTZ PSY.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1912039157
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537250519
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070806000227
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SENTZ
	Individual professional last name
Provider First Name	DUSTIN
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1107 KENILWORTH DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	TOWSON
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212042136
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y