| Harford Psychological Services, P.a. | |
|
543 Country Ridge Circle Bel Air MD 21015 | |
| (410) 569-0007 | |
| (410) 569-3738 |
| Full Name | Harford Psychological Services, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 543 Country Ridge Circle, Bel Air, Maryland |
| Authorized Official Name and Position | Walter Earl Polk (PRESIDENT/OWNER) |
| Authorized Official Contact | 4105690007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harford Psychological Services, P.a. Harford Psychological Services, P.a. 2945 Emmorton Road, Po Box 322 Abingdon MD 21009 Ph: (410) 569-0007 | Harford Psychological Services, P.a. 543 Country Ridge Circle Bel Air MD 21015 Ph: (410) 569-0007 |
| NPI Number | 1427103159 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Medicare PECOS PAC ID | 6204884919 |
|---|---|
| Medicare Enrollment ID | O20050110000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427103159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Walter Polk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376551291 PECOS PAC ID: 6002864717 Enrollment ID: I20101110000797 |
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