MEDICARE: MRS. MARIA CHRISTINA GUIDORIZZI M.S.

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	106H00000X	Marriage & Family Therapist	LCM197	MD

General Provider Information

NPI Number	:	1366641136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA CHRISTINA GUIDORIZZI M.S.

Provider Business Mailing Address
First Line	:	7034 CARROLL AVE
Second Line	:	SUITE 1
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4434
Country	:	US
Telephone Number	:	301-445-0572
Fax Number	:

Provider Business Practice Location Address
First Line	:	7034 CARROLL AVE
Second Line	:	SUITE 1
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4434
Country	:	US
Telephone Number	:	301-445-0572
Fax Number	:

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	07/12/2007

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