Examassure, Llc | |
828 Dulaney Valley Rd Ste 1 Towson MD 21204-2822 | |
(800) 254-3926 | |
Not Available |
Full Name | Examassure, Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 828 Dulaney Valley Rd Ste 1, Towson, Maryland |
Authorized Official Name and Position | Shawn W. Hales (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 8002543926 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Examassure, Llc 828 Dulaney Valley Rd Ste 1 Towson MD 21204-2822 Ph: (800) 254-3926 | Examassure, Llc 828 Dulaney Valley Rd Ste 1 Towson MD 21204-2822 Ph: (800) 254-3926 |
NPI Number | 1760764708 |
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Provider Enumeration Date | 09/15/2011 |
Last Update Date | 09/15/2011 |
Medicare PECOS PAC ID | 9537430467 |
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Medicare Enrollment ID | O20170810001179 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760764708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Shawn Hales |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831166974 PECOS PAC ID: 2163794751 Enrollment ID: I20170825000550 |
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