Provider Demographics
NPI:1083048060
Name:GINCHERMAN, DARYL E (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:DARYL
Middle Name:E
Last Name:GINCHERMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4912 DOWNLAND TER STE 100
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3112
Mailing Address - Country:US
Mailing Address - Phone:240-426-6189
Mailing Address - Fax:
Practice Address - Street 1:4912 DOWNLAND TER STE 100
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3112
Practice Address - Country:US
Practice Address - Phone:240-426-6189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP5256101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health