Lewin Psychological Services | |
839 Elkridge Landing Rd Ste 211 Linthicum MD 21090-2946 | |
(410) 703-6784 | |
(866) 858-1828 |
Full Name | Lewin Psychological Services |
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Speciality | Psychologist |
Location | 839 Elkridge Landing Rd Ste 211, Linthicum, Maryland |
Authorized Official Name and Position | Clinton Jared Lewin (OWNER) |
Authorized Official Contact | 4107036784 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lewin Psychological Services 839 Elkridge Landing Rd Ste 211 Linthicum MD 21090-2946 Ph: (410) 703-6784 | Lewin Psychological Services 839 Elkridge Landing Rd Ste 211 Linthicum MD 21090-2946 Ph: (410) 703-6784 |
NPI Number | 1275012312 |
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Provider Enumeration Date | 08/09/2018 |
Last Update Date | 12/13/2022 |
Certification Date | 12/13/2022 |
Medicare PECOS PAC ID | 9234584285 |
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Medicare Enrollment ID | O20231011000065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275012312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 05951 (Maryland) | Primary |
Provider Name | Clinton Jared Lewin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194245589 PECOS PAC ID: 5799023164 Enrollment ID: I20231011000100 |
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