Most Relevant Information
Provider Data
| NPI Number: | 1003539164 |
| Provider Name: | DIVINE CHIANGEH PSYCHOLOGY ASSOCIATE |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2022 |
| Last Updated: | 09/23/2022 |
Provider Practice Location
8101 SANDY SPRING RD STE 300-W31
LAUREL
MD
207073596
Practice Location Phone/Fax
| Phone: | 4439399186 |
| Fax: |
Provider Mailing Location
8101 SANDY SPRING RD STE 300-W31
LAUREL
MD
207073596
Provider Mailing Phone/Fax
| Phone: | 4439399186 |
| Fax: |