| Harvey L Gewanter Phd And Associates | |
|
6918 Ridge Rd Baltimore MD 21237-3854 | |
| (410) 764-8209 | |
| Not Available |
| Full Name | Harvey L Gewanter Phd And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 6918 Ridge Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Harvey Gewanter (OWNER) |
| Authorized Official Contact | 4107648209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey L Gewanter Phd And Associates 6918 Ridge Rd Baltimore MD 21237-3854 Ph: (410) 764-8209 | Harvey L Gewanter Phd And Associates 6918 Ridge Rd Baltimore MD 21237-3854 Ph: (410) 764-8209 |
| NPI Number | 1912051210 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 5597922047 |
|---|---|
| Medicare Enrollment ID | O20120210000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912051210 | NPI | - | NPPES |
| 496300800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 02663 (Maryland) | Primary |
| Provider Name | Harvey L Gewanter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255485546 PECOS PAC ID: 2769649227 Enrollment ID: I20120210000519 |
| Provider Name | Lynn Mahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811087174 PECOS PAC ID: 6507959509 Enrollment ID: I20131223000966 |
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