| Emmorton Psych | |
|
3105 Emmorton Rd Abingdon MD 21009-2582 | |
| (410) 569-5900 | |
| (410) 569-7751 |
| Full Name | Emmorton Psych |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3105 Emmorton Rd, Abingdon, Maryland |
| Authorized Official Name and Position | Steven C Zimmerman (ADMINISTRATOR) |
| Authorized Official Contact | 4105695900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmorton Psych 3105 Emmorton Rd Abingdon MD 21009-2582 Ph: (410) 569-5900 | Emmorton Psych 3105 Emmorton Rd Abingdon MD 21009-2582 Ph: (410) 569-5900 |
| NPI Number | 1588717722 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 10/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588717722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Maryland) | Primary |
| 103T00000X | Psychologist | 01971 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Maryland) | Secondary |
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