MEDICARE: DR. DALPHINE NORA CAGER PH.D.

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
1	101YP2500X	Professional Counselor	LC0166	MD

General Provider Information

NPI Number	:	1265575864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALPHINE NORA CAGER PH.D.

Provider Business Mailing Address
First Line	:	434 MCBRIDE LN
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-2822
Country	:	US
Telephone Number	:	410-544-1439
Fax Number	:	410-544-1439

Provider Business Practice Location Address
First Line	:	9811 MALLARD DR STE 219
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3199
Country	:	US
Telephone Number	:	410-919-3264
Fax Number	:	410-544-1439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/24/2007

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