Clinical Neuroscience, Llc | |
11055 Little Patuxent Pkwy Suite 209 Columbia MD 21044-2896 | |
(410) 997-1928 | |
(410) 997-1929 |
Full Name | Clinical Neuroscience, Llc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 11055 Little Patuxent Pkwy, Columbia, Maryland |
Authorized Official Name and Position | Thais D Weibel (OWNER) |
Authorized Official Contact | 4109971928 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinical Neuroscience, Llc 4509 Rosedale Ave Bethesda MD 20814-4754 Ph: (410) 997-1928 | Clinical Neuroscience, Llc 11055 Little Patuxent Pkwy Suite 209 Columbia MD 21044-2896 Ph: (410) 997-1928 |
NPI Number | 1437335320 |
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Provider Enumeration Date | 01/10/2008 |
Last Update Date | 01/10/2008 |
Identifier | Type | State | Issuer |
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1437335320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | D0057645 (Maryland) | Primary |
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