Chiriboga, Eva
Chiriboga, Eva is an sole proprietor health care provider with primary practice located at 8630 Fenton St Ste 328 , Silver Spring MD 20910-3816. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chiriboga, Eva can be contacted via phone (301) 328-1625.Contact Information
Primary practice address
8630 Fenton St Ste 328
Silver Spring MD 20910-3816
Phone: (301) 328-1625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810007358 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 06543 | Maryland |
Profile Details
| NPI number | 1811435761 |
|---|---|
| LBN Legal business name | Chiriboga, Eva |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2017 |
| Last updated | Jun 25th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811435761 | NPPES |
| Maryland | Other | 06543 | STATE LICENSE |
| Maryland | Other | 0810007358 | STATE LICENSE |
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