MEDICARE: WESTVIEW PSYCHOLOGICAL SERVICES, 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	02950	MD

General Provider Information

NPI Number	:	1649299660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTVIEW PSYCHOLOGICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	65 THOMAS JOHNSON DR
Second Line	:	SUITE A
City	:	FREDERICK
State	:	MD
Zip	:	21702-4371
Country	:	US
Telephone Number	:	301-695-9693
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 THOMAS JOHNSON DR
Second Line	:	SUITE A
City	:	FREDERICK
State	:	MD
Zip	:	21702-4371
Country	:	US
Telephone Number	:	301-695-9693
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL L. HAFFEY
Credential	:	PSY.D.
Telephone Number	:	301-695-9693

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/22/2020

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