Provider Demographics
NPI:1861478000
Name:ADAMO, EVELYN FELEPPA (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:FELEPPA
Last Name:ADAMO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10901 BALANTRE LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1358
Mailing Address - Country:US
Mailing Address - Phone:301-983-0123
Mailing Address - Fax:301-983-0743
Practice Address - Street 1:14440 CHERRY LANE CT
Practice Address - Street 2:SUITE 203
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4946
Practice Address - Country:US
Practice Address - Phone:301-776-8080
Practice Address - Fax:301-983-0743
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD459103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD116351500Medicaid
MD116351500Medicaid