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Miso Medical Center
Health Service Psychologist in Laurel, Maryland
NPI 1407516313

Miso Medical Center is a Health Service Psychologist based in Laurel, MD and is specialized in Health Service. Miso Medical Center practices in Laurel, MD. The NPI Number for Miso Medical Center is 1407516313 and holds a License No. (Maryland).

The current practice location address for Miso Medical Center is 14440 Cherry Lane Ct Ste 218, Laurel, MD and can be reached out via phone at 240-918-3829. You can also correspond with Miso Medical Center through the mailing address at 14440 CHERRY LANE CT STE 218, LAUREL, MD - 20707-4946 (mailing address contact number: 240-918-3829).

Location: 14440 Cherry Lane Ct Ste 218, Laurel, MD, 20707-4946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407516313
Provider Name
Miso Medical Center
Credential
Provider Entity Type
Organization
Address
14440 Cherry Lane Ct Ste 218, Laurel, MD, 20707-4946
Phone Number
240-918-3829
Fax Number
Provider Enumeration Date
12/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14440 Cherry Lane Ct Ste 218
City
Laurel
State
Maryland
Zip
20707-4946
Phone Number
240-918-3829
Fax Number
person
Provider Business Mailing Address Details
Address
14440 Cherry Lane Ct Ste 218
City
Laurel
State
Maryland
Zip
20707-4946
Phone Number
240-918-3829
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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