| Chesapeake Counseling And Psychological Services, Inc. | |
|
1813 Sweetbay Dr Suite #1 Salisbury MD 21804-1663 | |
| (410) 546-6126 | |
| (410) 543-2233 |
| Full Name | Chesapeake Counseling And Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1813 Sweetbay Dr, Salisbury, Maryland |
| Authorized Official Name and Position | George C.z. Weaver (OWNER) |
| Authorized Official Contact | 4105466126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Counseling And Psychological Services, Inc. 1813 Sweetbay Dr Suite #1 Salisbury MD 21804-1663 Ph: (410) 546-6126 | Chesapeake Counseling And Psychological Services, Inc. 1813 Sweetbay Dr Suite #1 Salisbury MD 21804-1663 Ph: (410) 546-6126 |
| NPI Number | 1578767018 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 01/06/2015 |
| Medicare PECOS PAC ID | 5092705939 |
|---|---|
| Medicare Enrollment ID | O20040513001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578767018 | NPI | - | NPPES |
| 02L363A | Other | MD | MEDICARE ID TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | George C Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396751343 PECOS PAC ID: 4284666173 Enrollment ID: I20101130000779 |
| Provider Name | Sandra A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245586122 PECOS PAC ID: 1557511060 Enrollment ID: I20121018000312 |
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