Provider Demographics
NPI:1285723478
Name:DEWHURST, DENISE LENORE (PHD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:LENORE
Last Name:DEWHURST
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13617 ANNDYKE PL
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2806
Mailing Address - Country:US
Mailing Address - Phone:301-353-9543
Mailing Address - Fax:301-540-3897
Practice Address - Street 1:13617 ANNDYKE PL
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2806
Practice Address - Country:US
Practice Address - Phone:301-353-9543
Practice Address - Fax:301-540-3897
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2392103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist