Maryland Parent Child Clinic, Llc | |
12 Galloway Ave Ste 2c Cockeysville MD 21030-4901 | |
(410) 205-4928 | |
Not Available |
Full Name | Maryland Parent Child Clinic, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 12 Galloway Ave Ste 2c, Cockeysville, Maryland |
Authorized Official Name and Position | Renee Smucker (FOUNDER/ PSYCHOLOGIST) |
Authorized Official Contact | 4102054928 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maryland Parent Child Clinic, Llc 3 Talbott Ave Ste 100 Timonium MD 21093-2329 Ph: (410) 205-4928 | Maryland Parent Child Clinic, Llc 12 Galloway Ave Ste 2c Cockeysville MD 21030-4901 Ph: (410) 205-4928 |
NPI Number | 1720664097 |
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Provider Enumeration Date | 03/18/2021 |
Last Update Date | 07/16/2024 |
Certification Date | 07/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720664097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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