DR. RODERICK IRVING WELLINGTON


Address: 7050 Chesapeake Rd, Suite 104, Landover Hills, MD 20784-2347
Phone: 3014590726

DR. RODERICK IRVING WELLINGTON (NPI# 1336535319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336535319
Entity Type Individual
Full Name DR. RODERICK IRVING WELLINGTON
Credential LCPC, NCC, CFC
Practice Address 7050 Chesapeake Rd
Suite 104
Landover Hills
MD 20784-2347
Practice Telephone 3014590726
Practice Fax Number 3015763787
Mailing Telephone 3014590726
Mailing Fax Number 3015763787
Enumeration Date 2015-04-07
Last Update Date 2015-04-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
LC6249 MD Behavioral Health & Social Service Providers

Office Location

Street Address 7050 CHESAPEAKE RD
SUITE 104
City LANDOVER HILLS
State MD
Zip Code 20784-2347

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City LANDOVER HILLS
Zip Code 20784

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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