| Boas Psychotherapy | |
|
1400 Front Ave Ste 305 Lutherville Timonium MD 21093-5364 | |
| (443) 823-9122 | |
| Not Available |
| Full Name | Boas Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 1400 Front Ave Ste 305, Lutherville Timonium, Maryland |
| Authorized Official Name and Position | Craig Wheeler Boas (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4438239122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boas Psychotherapy 1400 Front Ave Ste 305 Lutherville Timonium MD 21093-5364 Ph: (443) 823-9122 | Boas Psychotherapy 1400 Front Ave Ste 305 Lutherville Timonium MD 21093-5364 Ph: (443) 823-9122 |
| NPI Number | 1841966157 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Medicare PECOS PAC ID | 2860899507 |
|---|---|
| Medicare Enrollment ID | O20210923001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841966157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Craig Boas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093956336 PECOS PAC ID: 1355498940 Enrollment ID: I20090420000078 |
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