| Children's Medical Group, P.a. | |
|
500 Greene St Cumberland MD 21502-2799 | |
| (301) 724-7616 | |
| (301) 724-4811 |
| Full Name | Children's Medical Group, P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 500 Greene St, Cumberland, Maryland |
| Authorized Official Name and Position | Cherie L Wilson (OFFICE MANAGER) |
| Authorized Official Contact | 3017247616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Medical Group, P.a. 500 Greene St Cumberland MD 21502-2755 Ph: (301) 724-7616 | Children's Medical Group, P.a. 500 Greene St Cumberland MD 21502-2799 Ph: (301) 724-7616 |
| NPI Number | 1669086880 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 09/04/2020 |
| Certification Date | 09/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669086880 | NPI | - | NPPES |
| 910551400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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