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NPI Code Detail

MEDICARE: ZEN PSYCHOLOGICAL CENTER

MEDICARE: ZEN PSYCHOLOGICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1093477309
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZEN PSYCHOLOGICAL CENTER
Provider Business Mailing Address
First Line : 11 BYTE CT STE C
Second Line :
City : FREDERICK
State : MD
Zip : 21702-8718
Country : US
Telephone Number : 301-246-0206
Fax Number :
Provider Business Practice Location Address
First Line : 11 BYTE CT STE C
Second Line :
City : FREDERICK
State : MD
Zip : 21702-8718
Country : US
Telephone Number : 240-457-9194
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BRITTANY GOFF
Credential : LCSW-C
Telephone Number : 240-687-8507
Provider Enumeration Date : 10/13/2021
Last Update Date : 01/23/2023

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Directions to “ZEN PSYCHOLOGICAL CENTER ” Practice Location

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