| Kristen Kreider Llc | |
|
501 Kenilworth Dr Apt T3 Towson MD 21204-3876 | |
| (410) 474-8993 | |
| Not Available |
| Full Name | Kristen Kreider Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 Kenilworth Dr Apt T3, Towson, Maryland |
| Authorized Official Name and Position | Kristen Kreider (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4104748993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Kreider Llc 501 Kenilworth Dr Apt T3 Towson MD 21204-3876 Ph: (410) 474-8993 | Kristen Kreider Llc 501 Kenilworth Dr Apt T3 Towson MD 21204-3876 Ph: (410) 474-8993 |
| NPI Number | 1992385355 |
|---|---|
| Provider Enumeration Date | 04/10/2021 |
| Last Update Date | 04/10/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992385355 | NPI | - | NPPES |
| 1548716947 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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