| Elm Psychological And Coaching Services | |
|
1400 Front Ave Ste 305 Lutherville MD 21093-5364 | |
| (410) 591-5380 | |
| (410) 696-5799 |
| Full Name | Elm Psychological And Coaching Services |
|---|---|
| Speciality | Psychologist |
| Location | 1400 Front Ave Ste 305, Lutherville, Maryland |
| Authorized Official Name and Position | Cathryne L Maciolek Waugh (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4105915380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Psychological And Coaching Services 4 Candlelight Ct Lutherville MD 21093-2808 Ph: (410) 591-5380 | Elm Psychological And Coaching Services 1400 Front Ave Ste 305 Lutherville MD 21093-5364 Ph: (410) 591-5380 |
| NPI Number | 1457912651 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 06/27/2019 |
| Medicare PECOS PAC ID | 1153710389 |
|---|---|
| Medicare Enrollment ID | O20211110000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457912651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cathryne L Maciolek Waugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689815235 PECOS PAC ID: 0446403018 Enrollment ID: I20130109000644 |
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