OrganizationActive
About a Healthy Brain
NPI 1477237303 · Adult Development & Aging Psychologist · Germantown, MD
Provider details
- NPI number
- 1477237303
- Entity type
- Organization
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Debra Lee, Nurse Practitioner(240) 756-1682
Specialties & taxonomies
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Practice location
19403 Buckingham Way
Germantown, MD 20874-4665
Phone: (240) 756-1682
Approximate (ZIP-level) locationGet directions
Mailing address
12774 Wisteria Dr
Germantown, MD 20875
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-06-12
- Certified
- 2023-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.