Provider Demographics
NPI:1760658363
Name:HUARD, CAROLYN MEEGAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:MEEGAN
Last Name:HUARD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 FARMLAND DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4521
Mailing Address - Country:US
Mailing Address - Phone:301-881-5044
Mailing Address - Fax:301-881-2094
Practice Address - Street 1:11201 FARMLAND DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4521
Practice Address - Country:US
Practice Address - Phone:301-881-5044
Practice Address - Fax:301-881-2094
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02260103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist