Elise G. Abromson, PSY.D.
Individual provider Active NPI Clinical Psychologist · Frederick, MD
NPI 1194906180 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1194906180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 04427 (MD)
- Practice address
- 620 W Patrick St
Frederick, MD 21701-4028 - Phone
- (301) 712-9015
- NPI assigned
- Nov 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04427 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04427 | MD | Yes |
Addresses
Primary practice location
620 W Patrick St
Frederick, MD 21701-4028
Mailing address
620 W Patrick St
Frederick, MD 21701-4028
Phone (301) 712-9015
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All providers in Frederick, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. 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.