| Family Psychological Center Llc | |
|
2021 Emmorton Rd # A Ste 210 Bel Air MD 21015-6138 | |
| (410) 569-7582 | |
| (410) 569-7583 |
| Full Name | Family Psychological Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2021 Emmorton Rd # A, Bel Air, Maryland |
| Authorized Official Name and Position | Joann Rostek (OFFICE MANAGER) |
| Authorized Official Contact | 4105697582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychological Center Llc 2021 Emmorton Rd # A Ste 210 Bel Air MD 21015-6138 Ph: (410) 569-7582 | Family Psychological Center Llc 2021 Emmorton Rd # A Ste 210 Bel Air MD 21015-6138 Ph: (410) 569-7582 |
| NPI Number | 1639393622 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618079625 |
|---|---|
| Medicare Enrollment ID | O20070222000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639393622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 313494 (Maryland) | Primary |
| Provider Name | Walter T Ogle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720166077 PECOS PAC ID: 1052418134 Enrollment ID: I20070524000438 |
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