Potomac Grove Psychiatry
Potomac Grove Psychiatry is a Psychologist in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
Practice location Address checks out
8915 Shady Grove CtGaithersburg, MD 20877-1308
Phone: (301) 963-0060
Fax: (301) 258-7482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence D0016788 (MD) |
|---|
Record details
| NPI number | 1912111667 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Louis Kopolow — Owner · (301) 963-0060 |
| NPI enumerated | May 10, 2007 |
| Last updated in NPPES | July 8, 2010 |
| Mailing address | 8915 Shady Grove Ct, Gaithersburg, MD 20877-1308 |
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