Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 03760 | MD |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 03760 | MD |
Y | 103G00000X | Clinical Psychologist | 03760 | MD |
Y | 103TC0700X | Clinical Psychologist | 03760 | MD |
N | 103TF0000X | Family Psychologist | 03760 | MD |
N | 103TP2701X | Group Psychotherapist | 03760 | MD |
N | 103TR0400X | Rehabilitation Psychologist | 03760 | MD |
NPI | 1699012252 |
---|---|
Provider Name | Dr. Murugi Wa Mungai |
First Address | Columbia, MD 21044-1508 |
Second Address | Columbia, MD 21044-1508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2013 |
Last Update Date | 15/01/2013 |