Eastern Shore Psychological Services, Llc | |
11559 Somerset Ave Princess Anne MD 21853-1067 | |
(410) 334-6961 | |
(410) 334-6362 |
Full Name | Eastern Shore Psychological Services, Llc |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 11559 Somerset Ave, Princess Anne, Maryland |
Authorized Official Name and Position | Mary Kathryn Seifert (EXECUTIVE CEO) |
Authorized Official Contact | 4103346961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eastern Shore Psychological Services, Llc 2336 Goddard Pkwy Salisbury MD 21801-1126 Ph: (410) 334-6961 | Eastern Shore Psychological Services, Llc 11559 Somerset Ave Princess Anne MD 21853-1067 Ph: (410) 334-6961 |
NPI Number | 1801155601 |
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Provider Enumeration Date | 05/14/2012 |
Last Update Date | 07/31/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801155601 | NPI | - | NPPES |
R968 | Other | MD | CAREFIRST FEDERAL |
LM49EA | Other | MD | CAREFIRST BCBS |
520202702 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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