Search › Maryland › 103T00000X
Juan Villalta, PSYCHOLOGY ASSOCIATE
NPI 1588130660 · on the registry since 2018
Practice
- Address
- 8229 Cloverleaf Dr Ste 425
Millersville, MD 21108 - Phone
- (301) 775-6714
- Fax
- (410) 987-0576
- Organisation at this address
- Halcyon Wellness Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TS0200X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-29
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