| Arielle Shugoll Psyd Llc | |
|
8737 Colesville Rd Ste 304 Silver Spring MD 20910-3921 | |
| (240) 780-8572 | |
| Not Available |
| Full Name | Arielle Shugoll Psyd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8737 Colesville Rd Ste 304, Silver Spring, Maryland |
| Authorized Official Name and Position | Arielle Gesa Shugoll (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2407808572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arielle Shugoll Psyd Llc 2212 Hermitage Ave Silver Spring MD 20902-2870 Ph: (301) 412-0856 | Arielle Shugoll Psyd Llc 8737 Colesville Rd Ste 304 Silver Spring MD 20910-3921 Ph: (240) 780-8572 |
| NPI Number | 1568003085 |
|---|---|
| Provider Enumeration Date | 10/06/2019 |
| Last Update Date | 10/06/2019 |
| Medicare PECOS PAC ID | 6901138759 |
|---|---|
| Medicare Enrollment ID | O20191101000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568003085 | NPI | - | NPPES |
| 984025700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Arielle Gesa Shugoll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275884512 PECOS PAC ID: 7810229671 Enrollment ID: I20191101000619 |
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