Kendel Wylie-pugh, is a
Psychologist - Clinical Child & Adolescent based in Randallstown, Maryland. Kendel Wylie-pugh is licensed to practice in District Of Columbia (license number PSY1000718) and her current practice location is
4309 Travancore Ct, Randallstown, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 413-9484.
NPI number for Kendel Wylie-pugh is 1992122923 and her current mailing address is 4309 Travancore Ct, Randallstown, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992122923.
Healthcare Provider's Profile
Full Name | Kendel Wylie-pugh |
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Gender | Female |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 4309 Travancore Ct, Randallstown, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992122923
- Provider Enumeration Date: 03/27/2014
- Last Update Date: 03/27/2014
Medical Identifiers
Medical identifiers for Kendel Wylie-pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992122923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | PSY1000718 (District Of Columbia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendel Wylie-pugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kendel Wylie-pugh, 4309 Travancore Ct, Randallstown, MD 21133-1315 Ph: (443) 413-9484 | Kendel Wylie-pugh, 4309 Travancore Ct, Randallstown, MD 21133-1315 Ph: (443) 413-9484 |
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