Child And Adult Psychiatry Services Llc | |
6024 Pure Sky Pl Clarksville MD 21029-1238 | |
(240) 476-7591 | |
Not Available |
Full Name | Child And Adult Psychiatry Services Llc |
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Speciality | Psychiatry & Neurology |
Location | 6024 Pure Sky Pl, Clarksville, Maryland |
Authorized Official Name and Position | Irine Onyah (CEO) |
Authorized Official Contact | 2404767591 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Child And Adult Psychiatry Services Llc 6024 Pure Sky Pl Clarksville MD 21029-1238 Ph: () - | Child And Adult Psychiatry Services Llc 6024 Pure Sky Pl Clarksville MD 21029-1238 Ph: (240) 476-7591 |
NPI Number | 1982226924 |
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Provider Enumeration Date | 05/13/2020 |
Last Update Date | 05/13/2020 |
Certification Date | 05/13/2020 |
Medicare PECOS PAC ID | 2860815248 |
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Medicare Enrollment ID | O20200701001800 |
Identifier | Type | State | Issuer |
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1982226924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Irine S Onyah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811497498 PECOS PAC ID: 2264796010 Enrollment ID: I20180503001937 |
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