Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2515 | MD |
Y | 103TC0700X | Clinical Psychologist | 2515 | MD |
NPI | 1003021924 |
---|---|
Provider Name | Dr. Paul M. Gedo |
First Address | Rockville, MD 20850-2125 |
Second Address | Rockville, MD 20850-2125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |