Individual provider · Type 1 NPI
Andrea Xisto
Clinical Psychologist · Laurel, MD
Practice location
14415 Cannock Chase
Laurel, MD 20707-3136
Mailing address
14280 Baltimore Ave # 1175
Laurel, MD 20707-5006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY200001339 (DC) |
| Clinical Psychologist | 103TC0700X | 0810007294 (VA) |
| Clinical Psychologist Primary | 103TC0700X | 06670 (MD) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1740900208
Andrea Xisto's National Provider Identifier is 1740900208, issued on Sep 2, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Laurel, MD. The record was last updated on Jul 16, 2024.