Individualized Psychological Services | |
5603 Newbury St Baltimore MD 21209-3603 | |
(410) 999-8060 | |
(410) 787-5454 |
Full Name | Individualized Psychological Services |
---|---|
Speciality | Psychologist - Clinical |
Location | 5603 Newbury St, Baltimore, Maryland |
Authorized Official Name and Position | Yaakov Shugarman (OWNER) |
Authorized Official Contact | 4109998060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Individualized Psychological Services 5603 Newbury St Baltimore MD 21209-3603 Ph: (410) 999-8060 | Individualized Psychological Services 5603 Newbury St Baltimore MD 21209-3603 Ph: (410) 999-8060 |
NPI Number | 1891260006 |
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Provider Enumeration Date | 10/04/2018 |
Last Update Date | 07/16/2020 |
Certification Date | 07/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891260006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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