| James Perritt Psychiatric Np Llc | |
|
1404 S Main Chapel Way Ste 104 Gambrills MD 21054-1860 | |
| (410) 402-3043 | |
| Not Available |
| Full Name | James Perritt Psychiatric Np Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1404 S Main Chapel Way Ste 104, Gambrills, Maryland |
| Authorized Official Name and Position | James Perritt (NURSE PRACTITIONER) |
| Authorized Official Contact | 4104023043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Perritt Psychiatric Np Llc 401 Green Grove Ct Millersville MD 21108-1469 Ph: () - | James Perritt Psychiatric Np Llc 1404 S Main Chapel Way Ste 104 Gambrills MD 21054-1860 Ph: (410) 402-3043 |
| NPI Number | 1528883311 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528883311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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