NPI 1073968061

Tara Acevedo, PSY.D., PC

Organisation Clinical Psychologist Columbia, MD

Practice location

Address: 6213 Deep Earth Ln, Columbia, MD 21045-2565
Phone: (610) 217-0821

Authorised official

Name: Tara Acevedo
Title: Executive Director
Phone: (610) 217-0821

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 05587 (MD)

Other Psychologist providers in Maryland →

Registry record

NPI: 1073968061
Entity type: Organization
NPI issued: 27 Apr 2016
Record last updated: 27 Apr 2016

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.