| Kerry L. Malawista, Ph.d. | |
|
9421 Thrush Ln Potomac MD 20854-3991 | |
| (301) 983-4541 | |
| Not Available |
| Full Name | Kerry L. Malawista, Ph.d. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9421 Thrush Ln, Potomac, Maryland |
| Authorized Official Name and Position | Kerry L Malawista (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3019834541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry L. Malawista, Ph.d. 9421 Thrush Ln Potomac MD 20854-3991 Ph: (301) 983-4541 | Kerry L. Malawista, Ph.d. 9421 Thrush Ln Potomac MD 20854-3991 Ph: (301) 983-4541 |
| NPI Number | 1598117053 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 07/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598117053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05259 (Maryland) | Primary |
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