| Boys Town Washington Dc, Inc. | |
|
1300 Caraway Ct Ste 106 Largo MD 20774-5462 | |
| (120) 265-0636 | |
| (202) 250-6362 |
| Full Name | Boys Town Washington Dc, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1300 Caraway Ct Ste 106, Largo, Maryland |
| Authorized Official Name and Position | Stacia Jean Shearman (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5313558104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys Town Washington Dc, Inc. 4801 Sargent Rd Ne Washington DC 20017-2841 Ph: (202) 650-6361 | Boys Town Washington Dc, Inc. 1300 Caraway Ct Ste 106 Largo MD 20774-5462 Ph: (120) 265-0636 |
| NPI Number | 1821797812 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821797812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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