Provider Demographics
NPI:1245835438
Name:MARY L SEARCY PHD LLC
Entity type:Organization
Organization Name:MARY L SEARCY PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-570-7549
Mailing Address - Street 1:11249 LOCKWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4564
Mailing Address - Country:US
Mailing Address - Phone:301-570-7549
Mailing Address - Fax:301-570-0362
Practice Address - Street 1:11249 LOCKWOOD DR STE C
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4564
Practice Address - Country:US
Practice Address - Phone:301-570-7549
Practice Address - Fax:301-570-0362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty