Enyidah, Deborah
Enyidah, Deborah is an sole proprietor health care provider with primary practice located at 604 S Frederick Ave Ste 211 , Gaithersburg MD 20877-1282. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Enyidah, Deborah can be contacted via phone (410) 823-6408.Contact Information
Primary practice address
604 S Frederick Ave Ste 211
Gaithersburg MD 20877-1282
Phone: (410) 823-6408
Fax: (443) 279-0537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19820 | Maryland |
Profile Details
| NPI number | 1134664519 |
|---|---|
| LBN Legal business name | Enyidah, Deborah |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2016 |
| Last updated | Dec 9th, 2025 - about last year |
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 | 1134664519 | NPPES |
| Maryland | MEDICAID | 104100000X |
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