Affiliated Psychologists, LLC
Organization Active NPI Clinical Psychologist · Towson, MD
NPI 1134420920 · NPPES record last updated Nov 9, 2010
Key facts
- NPI
- 1134420920
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 03717 (MD)
- Legal business name
- AFFILIATED PSYCHOLOGISTS, LLC
- Practice address
- 312 W Chesapeake Ave
2ND Floor, East
Towson, MD 21204-4410 - Phone
- (443) 681-7269
- Fax
- (240) 491-9587
- NPI assigned
- Nov 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Marsha D. Somers, PH.D.
- Title
- Psychologist
- Phone
- (301) 625-7612
National Provider Directory
Locations
312 W Chesapeake Ave
Ste 2
Towson, MD 21204
Phone (443) 681-7269
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 03717 | MD | Yes |
Addresses
Primary practice location
312 W Chesapeake Ave
2ND Floor, East
Towson, MD 21204-4410
Mailing address
1604 Featherwood St
Silver Spring, MD 20904-6639
Phone (301) 625-7612
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461LM697 | Other | MD | MEDICARE PROVIDER NUMBER |
| 03717 | Other | PSYCHOLOGIST LICENSE # |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.