| Fusion Psychological And Consulting Services, Llc | |
|
1298 Bay Dale Dr Ste 211 Arnold MD 21012-2815 | |
| (410) 919-4904 | |
| Not Available |
| Full Name | Fusion Psychological And Consulting Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1298 Bay Dale Dr Ste 211, Arnold, Maryland |
| Authorized Official Name and Position | Alysia Sierra (OWNER) |
| Authorized Official Contact | 4103533144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fusion Psychological And Consulting Services, Llc 1298 Bay Dale Dr Arnold MD 21012-2804 Ph: (410) 353-3144 | Fusion Psychological And Consulting Services, Llc 1298 Bay Dale Dr Ste 211 Arnold MD 21012-2815 Ph: (410) 919-4904 |
| NPI Number | 1942739834 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 5496028664 |
|---|---|
| Medicare Enrollment ID | O20170911000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942739834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 05597 (Maryland) | Primary |
| Provider Name | Alysia M Sierra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720458946 PECOS PAC ID: 8729379326 Enrollment ID: I20160628002335 |
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