Search › Maryland › 101YP2500X
Justin Deitrick, LGPC
NPI 1417660663 · on the registry since 2023
Practice
- Address
- 3700 Championship Dr
Glenwood, MD 21738 - Phone
- (443) 472-1349
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YS0200X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland