Daniel Alexander Camacho, PHD

Individual provider Active NPI Counseling Psychologist · Hanover, MD

NPI 1346919347 · NPPES record last updated Jul 17, 2023

Key facts

NPI
1346919347
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
06333 (MD)
Practice address
2915 Stagg LN
Hanover, MD 21076-2345
Phone
(914) 584-0994
NPI assigned
Sep 13, 2021
Sex
Male
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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
06333MDMDCounseling Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 06333 MD Yes

Addresses

Primary practice location

2915 Stagg LN
Hanover, MD 21076-2345

Mailing address

2915 Stagg LN
Hanover, MD 21076-2345
Phone (914) 584-0994

Other providers in Hanover, MD

All providers in Hanover, MD · Counseling Psychologist in Maryland

Sources for this page

Verify at the official NPI Registry.