| Chesapeake Care Resources, Inc. | |
|
80 Marysville Rd North East MD 21901-2317 | |
| (410) 287-5040 | |
| Not Available |
| Full Name | Chesapeake Care Resources, Inc. |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 80 Marysville Rd, North East, Maryland |
| Authorized Official Name and Position | Janet Kelly (PRESIDENT) |
| Authorized Official Contact | 4102875040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Care Resources, Inc. 80 Marysville Rd North East MD 21901-2317 Ph: (410) 287-5040 | Chesapeake Care Resources, Inc. 80 Marysville Rd North East MD 21901-2317 Ph: (410) 287-5040 |
| NPI Number | 1104404110 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104404110 | NPI | - | NPPES |
| 00000045 | Medicaid | DE | |
| 00000043 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
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