MEDICARE: FAYE HARRISON CPRP

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	225400000X	Rehabilitation Practitioner	78512202	MD
2	104100000X	Social Worker	LG200004767	DC

General Provider Information

NPI Number	:	1720940497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAYE HARRISON CPRP

Provider Business Mailing Address
First Line	:	12200 TECH RD STE 330
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1913
Country	:	US
Telephone Number	:	301-572-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	12200 TECH RD STE 330
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1913
Country	:	US
Telephone Number	:	301-572-6585
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	05/11/2026

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Directions to “ FAYE HARRISON CPRP” Practice Location

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