NPI 1114381365

Diane King-Shaw, PHDLCMFT

Practitioner Marriage & Family Therapist Rockville, MD

Practice location

Address: 12301 Academy Way, Rockville, MD 20852-2000
Phone: (301) 984-4444

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LCM362 (MD)

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Registry record

NPI: 1114381365
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2016
Record last updated: 13 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.