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Dr. Johnathan Vital, PHD
Psychologist in Waldorf, Maryland
NPI 1477810067

Johnathan Vital is a Psychologist based in Waldorf, MD. Johnathan Vital practices in Waldorf, MD and has the professional credentials of PHD. The NPI Number for Johnathan Vital is 1477810067 and holds a License No. 04759 (Maryland).

The current practice location address for Johnathan Vital is 2413 Altenburg Ct, Waldorf, MD and can be reached out via phone at 301-653-8828 and via fax at 202-558-7113.

Location: 2413 Altenburg Ct, Waldorf, MD, 20603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477810067
Provider Name
Johnathan Vital
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2413 Altenburg Ct, Waldorf, MD, 20603
Phone Number
301-653-8828
Fax Number
202-558-7113
Provider Enumeration Date
04/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2413 Altenburg Ct
City
Waldorf
State
Maryland
Zip
20603
Phone Number
301-653-8828
Fax Number
202-558-7113
person
Provider Business Mailing Address Details
Address
2413 Altenburg Ct
City
Waldorf
State
Maryland
Zip
20603
Phone Number
301-653-8828
Fax Number
202-558-7113
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
04759 (Maryland)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
04759 (Maryland)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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