| Jhu - Psychiatry | |
|
600 N Wolfe St Baltimore MD 21287-0005 | |
| (410) 847-3770 | |
| Not Available |
| Full Name | Jhu - Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhu - Psychiatry Po Box 64260 Baltimore MD 21264-4260 Ph: () - | Jhu - Psychiatry 600 N Wolfe St Baltimore MD 21287-0005 Ph: (410) 847-3770 |
| NPI Number | 1538144803 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 07/21/2022 |
| Certification Date | 03/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538144803 | NPI | - | NPPES |
| 545171000 | Medicaid | MD | |
| CD6088 | Other | MD | RRMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Maryland) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (Maryland) | Primary |
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