| Greenwood Therapeutic Service | |
|
9650 Santiago Rd Ste 3 Columbia MD 21045-3960 | |
| (410) 298-8223 | |
| (410) 298-8225 |
| Full Name | Greenwood Therapeutic Service |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9650 Santiago Rd Ste 3, Columbia, Maryland |
| Authorized Official Name and Position | Virginia Iannone (OWNER) |
| Authorized Official Contact | 4102988223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwood Therapeutic Service 727 River Rd Sykesville MD 21784-5506 Ph: (410) 409-5445 | Greenwood Therapeutic Service 9650 Santiago Rd Ste 3 Columbia MD 21045-3960 Ph: (410) 298-8223 |
| NPI Number | 1710192729 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710192729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0190 (Maryland) | Primary |
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