| La Plata Pediatrics & Family Health, Llc | |
|
103 Centennial St Ste C La Plata MD 20646-5985 | |
| (301) 934-9111 | |
| Not Available |
| Full Name | La Plata Pediatrics & Family Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 103 Centennial St Ste C, La Plata, Maryland |
| Authorized Official Name and Position | Jamie Lee Reidy (OWNER) |
| Authorized Official Contact | 3016438127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Plata Pediatrics & Family Health, Llc 103 Centennial St Ste C La Plata MD 20646-5985 Ph: (301) 934-9111 | La Plata Pediatrics & Family Health, Llc 103 Centennial St Ste C La Plata MD 20646-5985 Ph: (301) 934-9111 |
| NPI Number | 1619757713 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619757713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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