MEDICARE: DR. ANDREA OBAH PSY.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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1336099035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA OBAH PSY.D.

Provider Business Mailing Address
First Line	:	7502 WINDSOR MILL RD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2032
Country	:	US
Telephone Number	:	410-744-1089
Fax Number	:

Provider Business Practice Location Address
First Line	:	7502 WINDSOR MILL RD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2032
Country	:	US
Telephone Number	:	410-744-1089
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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