Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSYA00285 | DC |
Y | 103T00000X | Psychologist | PSYA00285 | DC |
N | 225400000X | Rehabilitation Practitioner | CA | |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1235514613 |
---|---|
Provider Name | Hannah Salanoa-Ogbechie |
First Address | Wheaton, MD 20902-4568 |
Second Address | Wheaton, MD 20902-4568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2015 |
Last Update Date | 19/12/2020 |