Ms. Roberta Lynn Wasserman
Mental Health Counselor
2405 Forest Edge Ct Apt. 304d
Odenton
, Maryland 21113-2830
Ms. Roberta Lynn Wasserman
Mental Health Counselor
2405 Forest Edge Ct Apt. 304d
Odenton
, Maryland 21113-2830
(410) 570-1694
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Ms. Roberta Lynn Wasserman
- 2405 Forest Edge Ct #304d
- Odenton, MD
- Zip : 21113-2830
- Phone : (410) 570-1694
Second Address
- Ms. Roberta Lynn Wasserman
- 2405 Forest Edge Ct Apt. 304d
- Odenton, MD
- Zip : 21113-2830
- Phone : (410) 570-1694
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Is Ms. Roberta Lynn Wasserman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 15010 | MD |
National Provider Identifier
| NPI | 1003151507 |
|---|---|
| Provider Name | Ms. Roberta Lynn Wasserman |
| First Address | Odenton, MD 21113-2830 |
| Second Address | Odenton, MD 21113-2830 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/12/2012 |
| Last Update Date | 11/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.