Whalio Doctors

NPI 1003439167

Life Psychotherapy Center LLC

Organisation Clinical Psychologist Woodstock, MD

Practice location

Address
10709 Birmingham Way, Woodstock, MD 21163-1403
Phone
(410) 995-8184
Mailing address
5479 Green Dory Ln, Columbia, MD 21044-1912

Authorised official

Name
Miya Williams
Title
Owner/Therapist
Phone
(410) 925-8392

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Registry record

NPI
1003439167
Entity type
Organization
NPI issued
24 May 2020
Record last updated
24 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.