Guirla J. Pharuns-Baptiste, C. O. T. A.

Individual provider Active NPI Contractor · Germantown, MD

NPI 1164620134 · NPPES record last updated Jul 11, 2007

Key facts

NPI
1164620134
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
00530 (MD)
Practice address
9 Scottsbury CT
Germantown, MD 20876-6014
Phone
(240) 427-2812
Fax
(301) 540-9444
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 00530 MD Yes

Addresses

Primary practice location

9 Scottsbury CT
Germantown, MD 20876-6014

Mailing address

9 Scottsbury CT
Germantown, MD 20876-6014
Phone (240) 427-2812

Other identifiers

IdentifierTypeStateIssuer
OO530OtherMDMARYLAND MENTAL HEALTHAND

Other providers in Germantown, MD

All providers in Germantown, MD · Contractor in Maryland

Sources for this page

Verify at the official NPI Registry.