Bright Horizons Behavioral Health, Llc | |
1502 Joh Ave Suite 180 Baltimore MD 21227-1137 | |
(571) 288-3314 | |
(888) 760-4333 |
Full Name | Bright Horizons Behavioral Health, Llc |
---|---|
Speciality | Psychologist - Prescribing (medical) |
Location | 1502 Joh Ave, Baltimore, Maryland |
Authorized Official Name and Position | Sandra Martin (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5712883314 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Horizons Behavioral Health, Llc Po Box 1212 Columbia MD 21044-0212 Ph: (571) 288-3314 | Bright Horizons Behavioral Health, Llc 1502 Joh Ave Suite 180 Baltimore MD 21227-1137 Ph: (571) 288-3314 |
NPI Number | 1346772712 |
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Provider Enumeration Date | 04/03/2017 |
Last Update Date | 04/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346772712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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