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1101 N Point Blvd Ste 130 Baltimore MD 21224-3417 | |
| (410) 282-7222 | |
| (410) 288-4009 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 1101 N Point Blvd Ste 130, Baltimore, Maryland |
| Authorized Official Name and Position | Earl S Oxley (MANAGER) |
| Authorized Official Contact | 4103910047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
201 Eastern Blvd Baltimore MD 21221-6958 Ph: (410) 282-7222 | 1101 N Point Blvd Ste 130 Baltimore MD 21224-3417 Ph: (410) 282-7222 |
| NPI Number | 1063425478 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063425478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 01282 (Maryland) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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