| Fetherson & Knight Psychological Services, LLC | |
|
7404 Executive Pl Ste 225b Lanham MD 20706-6205 | |
| (240) 929-4387 | |
| (240) 929-4391 |
| Full Name | Fetherson & Knight Psychological Services, LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7404 Executive Pl Ste 225b, Lanham, Maryland |
| Authorized Official Name and Position | Bianca Fetherson (CLINICAL DIRECTOR/CO-OWNER) |
| Authorized Official Contact | 2409294387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fetherson & Knight Psychological Services, LLC 7404 Executive Pl Ste 225b Lanham MD 20706-6205 Ph: (240) 929-4387 | Fetherson & Knight Psychological Services, LLC 7404 Executive Pl Ste 225b Lanham MD 20706-6205 Ph: (240) 929-4387 |
| NPI Number | 1558828996 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 09/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558828996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
| 103T00000X | Psychologist | (NU) | Secondary |
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