Eastern Shore Therapy, Llc | |
1046 Pond Neck Rd Earleville MD 21919-2342 | |
(410) 275-1961 | |
Not Available |
Full Name | Eastern Shore Therapy, Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 1046 Pond Neck Rd, Earleville, Maryland |
Authorized Official Name and Position | James Ronnie Russell (CEO) |
Authorized Official Contact | 4102751961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eastern Shore Therapy, Llc 1046 Pond Neck Rd Earleville MD 21919-2342 Ph: (410) 275-1961 | Eastern Shore Therapy, Llc 1046 Pond Neck Rd Earleville MD 21919-2342 Ph: (410) 275-1961 |
NPI Number | 1982319810 |
---|---|
Provider Enumeration Date | 01/16/2023 |
Last Update Date | 01/16/2023 |
Certification Date | 01/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982319810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |