Provider Demographics
NPI:1245449594
Name:ESTWICK, ESTHER CECELIA (MD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:CECELIA
Last Name:ESTWICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9470 ANNAPOLIS RD STE 305
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3022
Mailing Address - Country:US
Mailing Address - Phone:301-459-8868
Mailing Address - Fax:301-459-8869
Practice Address - Street 1:9470 ANNAPOLIS RD STE 305
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3022
Practice Address - Country:US
Practice Address - Phone:301-459-8868
Practice Address - Fax:301-459-8869
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00181342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD396821900Medicaid
MD2978OtherBCBS MARYLAND
0182301OtherBCBS FEDERAL
MD396821900Medicaid
MD2978OtherBCBS MARYLAND