| Interdyanmics,inc. | |
|
4601 Forbes Blvd Suite #100 Lanham MD 20706-4807 | |
| (301) 306-4590 | |
| (301) 306-4591 |
| Full Name | Interdyanmics,inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4601 Forbes Blvd, Lanham, Maryland |
| Authorized Official Name and Position | Mary Mitchell (ADMINISTRATIVE PROJECT MANAGER) |
| Authorized Official Contact | 3013064590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interdyanmics,inc. 4601 Forbes Blvd Lanham MD 20706-4807 Ph: (301) 306-4590 | Interdyanmics,inc. 4601 Forbes Blvd Suite #100 Lanham MD 20706-4807 Ph: (301) 306-4590 |
| NPI Number | 1568808012 |
|---|---|
| Provider Enumeration Date | 05/10/2013 |
| Last Update Date | 05/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568808012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 18189 (Maryland) | Primary |
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