| Deep Blue Clinical Services, Pllc | |
|
30 E Padonia Rd Ste 202 Timonium MD 21093-2308 | |
| (443) 377-1507 | |
| Not Available |
| Full Name | Deep Blue Clinical Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30 E Padonia Rd Ste 202, Timonium, Maryland |
| Authorized Official Name and Position | Daniel Blumenthal (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4433771507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Blue Clinical Services, Pllc 211 Pauline Dr # 1087 York PA 17402-4637 Ph: (443) 377-1507 | Deep Blue Clinical Services, Pllc 30 E Padonia Rd Ste 202 Timonium MD 21093-2308 Ph: (443) 377-1507 |
| NPI Number | 1184327017 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184327017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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