Foster, Maya Danielle

Foster, Maya Danielle is an sole proprietor health care provider with primary practice located at 2110 Priest Bridge Dr Ste 4 , Crofton MD 21114-2472. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Foster, Maya Danielle can be contacted via phone (240) 459-3074.

Contact Information

Primary practice address
2110 Priest Bridge Dr Ste 4 Crofton MD 21114-2472
Phone: (240) 459-3074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LGM504 Maryland

Profile Details

NPI number 1174989289
LBN Legal business name Foster, Maya Danielle
Credentials LCMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2016
Last updated Feb 19th, 2018 - about 7 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 1174989289 NPPES
Maryland MEDICAID 200406200

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