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NPI Code Detail

MEDICARE: MRS. MARY ANNE TOLEDO TAMULA MA

MEDICARE: MRS. MARY ANNE TOLEDO TAMULA MA
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
1103TC1900XCounseling PsychologistA0334MD

General Provider Information

NPI Number : 1689300873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY ANNE TOLEDO TAMULA MA
Provider Business Mailing Address
First Line : 5530 WISCONSIN AVE STE 1528
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-4300
Country : US
Telephone Number : 240-542-8503
Fax Number :
Provider Business Practice Location Address
First Line : 5530 WISCONSIN AVE STE 1528
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-4300
Country : US
Telephone Number : 240-542-8503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2022
Last Update Date : 07/28/2022

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Directions to “ MRS. MARY ANNE TOLEDO TAMULA MA” Practice Location

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