MEDICARE: MS. TOINETTA PATRICE CALDWELL LCPC MAT

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	101YP2500X	Professional Counselor	LC0908	MD

General Provider Information

NPI Number	:	1841323805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TOINETTA PATRICE CALDWELL LCPC MAT

Provider Business Mailing Address
First Line	:	8181 PROFESSIONAL PL STE 170
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-2260
Country	:	US
Telephone Number	:	240-479-9961
Fax Number	:

Provider Business Practice Location Address
First Line	:	8181 PROFESSIONAL PL STE 170
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-2260
Country	:	US
Telephone Number	:	240-479-9961
Fax Number	:

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	11/21/2023

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