| Eastern Shore Psychological Service | |
|
1113 Healthway Drive Salisbury MD 21804 | |
| (410) 334-6961 | |
| (410) 334-6362 |
| Full Name | Eastern Shore Psychological Service |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1113 Healthway Drive, Salisbury, Maryland |
| Authorized Official Name and Position | Mary Kathyrn Seifert (EXECUTIVE DIRECTOR CEO) |
| Authorized Official Contact | 4103346961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Shore Psychological Service 1113 Healthway Drive Salisbury MD 21804 Ph: (410) 334-6961 | Eastern Shore Psychological Service 1113 Healthway Drive Salisbury MD 21804 Ph: (410) 334-6961 |
| NPI Number | 1548348402 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548348402 | NPI | - | NPPES |
| R968 | Other | DC | CAREFIRST FEDERAL GROUP |
| 609550001 | Medicaid | MD | |
| 517251 | Other | UHC MAMSI GROUP # | |
| LM49EA | Other | MD | CAREFIRST BCBS GROUP |
| 259147000 | Other | MD | MAGELLAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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