Provider Demographics
NPI:1245214840
Name:OBROCEA, CATHERINE BISHOP (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:BISHOP
Last Name:OBROCEA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:367 MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-6572
Mailing Address - Country:US
Mailing Address - Phone:301-519-0904
Mailing Address - Fax:301-519-0905
Practice Address - Street 1:367 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-6572
Practice Address - Country:US
Practice Address - Phone:301-519-0904
Practice Address - Fax:301-519-0905
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD04022103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD217028Medicare ID - Type Unspecified