Provider Demographics
NPI:1811081870
Name:ADAM, DOINA (MA)
Entity type:Individual
Prefix:
First Name:DOINA
Middle Name:
Last Name:ADAM
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4824 EDGEMOOR LN
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5306
Mailing Address - Country:US
Mailing Address - Phone:301-907-3952
Mailing Address - Fax:
Practice Address - Street 1:2424 REEDIE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4624
Practice Address - Country:US
Practice Address - Phone:240-777-3368
Practice Address - Fax:240-777-3226
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC 2659101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional