Crisologo, Anna

Crisologo, Anna is an individual health care provider with primary practice located at 12301 Academy Way , Rockville MD 20852-2000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Crisologo, Anna can be contacted via phone (301) 984-4444.

Contact Information

Primary practice address
12301 Academy Way Rockville MD 20852-2000
Phone: (301) 984-4444
Fax: (301) 315-3728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 05677 Maryland

Profile Details

NPI number 1447792494
LBN Legal business name Crisologo, Anna
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2016
Last updated Nov 8th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447792494 NPPES
Maryland Other 05677 LICENSE

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