| Eastern Shore Psychological Services, Llc | |
|
1113 Healthway Drive Salisbury MD 21804 | |
| (410) 334-6961 | |
| (410) 334-6362 |
| Full Name | Eastern Shore Psychological Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1113 Healthway Drive, Salisbury, 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 1113 Healthway Drive Salisbury MD 21804 Ph: (410) 334-6961 | Eastern Shore Psychological Services, Llc 1113 Healthway Drive Salisbury MD 21804 Ph: (410) 334-6961 |
| NPI Number | 1093074064 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093074064 | NPI | - | NPPES |
| LM49EA | Other | MD | CAREFIRST BCBS |
| R968 | Other | MD | CAREFIRST FEDERAL |
| 520202700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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