npidexNPI registry + Medicare data

AMY PROVAN, PSY.D.

Clinical Psychologist · TOWSON, MD

Individual Active Opted out of Medicare NPI 1821454893

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Psychologist103TC0700X✓04508MD

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2019-07-10 through 2027-07-10.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.