| Integrative Therapy Center Of Maryland, Llc | |
|
1501 Sulgrave Ave Ste 205 Baltimore MD 21209-3650 | |
| (414) 213-9636 | |
| Not Available |
| Full Name | Integrative Therapy Center Of Maryland, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1501 Sulgrave Ave Ste 205, Baltimore, Maryland |
| Authorized Official Name and Position | Moshe Miller (OWNER) |
| Authorized Official Contact | 4142139636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Therapy Center Of Maryland, Llc 2810 Hanson Ave Baltimore MD 21209-3912 Ph: () - | Integrative Therapy Center Of Maryland, Llc 1501 Sulgrave Ave Ste 205 Baltimore MD 21209-3650 Ph: (414) 213-9636 |
| NPI Number | 1245795103 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245795103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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