| Maryland Oncology Hematology, P.a. | |
|
10710 Charter Dr Ste G020 Columbia MD 21044-3257 | |
| (410) 964-2212 | |
| (410) 964-0380 |
| Full Name | Maryland Oncology Hematology, P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10710 Charter Dr Ste G020, Columbia, Maryland |
| Authorized Official Name and Position | Lisa Talbott (PRACTICE DIRECTOR) |
| Authorized Official Contact | 4109528421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Oncology Hematology, P.a. 11720 Beltsville Dr Ste 300 Beltsville MD 20705-3119 Ph: (410) 241-1657 | Maryland Oncology Hematology, P.a. 10710 Charter Dr Ste G020 Columbia MD 21044-3257 Ph: (410) 964-2212 |
| NPI Number | 1649879362 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649879362 | NPI | - | NPPES |
| 400899500 | Medicaid | MD | |
| 400899507 | Medicaid | MD | |
| 400899516 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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