MEDICARE: DTKP CONSULTING LLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1508782616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DTKP CONSULTING LLC

Provider Business Mailing Address
First Line	:	100 1ST AVE
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-1002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 1ST AVE
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-1002
Country	:	US
Telephone Number	:	301-323-8140
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL PARDO
Credential	:	PSYD
Telephone Number	:	301-323-8140

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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Directions to “DTKP CONSULTING LLC ” Practice Location

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