DOROTHY A TRACEY RUSIN


Address: 9077 Shady Grove Court, Gaithersburg, MD 20877
Phone: 3019770150

DOROTHY A TRACEY RUSIN (NPI# 1528154358) 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) 1528154358
Entity Type Individual
Full Name DOROTHY A TRACEY RUSIN
Credential PH D
Practice Address 9077 Shady Grove Court
Gaithersburg
MD 20877
Mailing Address 20001 Bucklodge Rd
Boyds
MD 20841
Practice Telephone 3019770150
Mailing Telephone 3019770150
Enumeration Date 2006-10-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
925 MD Behavioral Health & Social Service Providers

Office Location

Street Address 9077 SHADY GROVE COURT
City GAITHERSBURG
State MD
Zip Code 20877

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598977266 Wolfgang Waldemar Riedel Psychologist 9077 Shady Grove Court, Gaithersburg, MD 20877 2007-05-04

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1962896126 Estefania Ospina Social Worker 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 2015-03-26
1619306206 Patricia Elizabeth Deleon Registered Nurse 702 Russell Ave., #100, Gaithersburg, MD 20877 2013-11-05
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184254559 Kelli Dunlap Psychologist 301 Inspiration Ln, Gaithersburg, MD 20878-5817 2020-01-24
1336670389 Quince Orchard Psychotherapy Psychologist 60 Market Street #213, Gaithersburg, MD 20878-6559 2017-03-22
1922551217 Safe Harbor Christian Counseling Psychologist 8921 Warfield Rd, Gaithersburg, MD 20882-4430 2016-08-03
1346514288 Glenetta Hudson Harris Psychologist 847 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878-1677 2012-02-23
1437458700 Eve Helen Burkhardt Psychologist 403 Russell Ave, 5g, Gaithersburg, MD 20877-2819 2011-03-25
1780906438 Margaret Farrell Psychologist 60 Market St Ste 213, Gaithersburg, MD 20878-6559 2010-02-23
1407085111 Sean M Negola Psychologist 21407 Uppermont Ln, Gaithersburg, MD 20882-4873 2009-07-02
1417073487 Elizabeth Carline Carr Psychologist 220 Main St Fl 2, Gaithersburg, MD 20878-5471 2007-03-22
1164589883 Bronwen Elizabeth Williams Psychologist 16220 S Frederick Ave Ste 512, Gaithersburg, MD 20877-4022 2007-01-02
1639262207 Daniel C York Psychologist 413 Washington Grove Ln, Gaithersburg, MD 20877-1182 2006-10-02
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Competitor

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City GAITHERSBURG
Zip Code 20877

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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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