Provider Demographics
NPI:1669158127
Name:BRINKLEY, MAGUIRE (PSYD)
Entity type:Individual
Prefix:DR
First Name:MAGUIRE
Middle Name:
Last Name:BRINKLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 CHAMPLAIN ST NW APT 7
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-7202
Mailing Address - Country:US
Mailing Address - Phone:804-840-3980
Mailing Address - Fax:
Practice Address - Street 1:8401 CONNECTICUT AVE STE 700
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5831
Practice Address - Country:US
Practice Address - Phone:240-424-0184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07019103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical