| Sheppard Pratt | |
|
4510 Wharf Point Ct Belcamp MD 21017-1212 | |
| (410) 453-9553 | |
| Not Available |
| Full Name | Sheppard Pratt |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4510 Wharf Point Ct, Belcamp, Maryland |
| Authorized Official Name and Position | Sue Kessler (DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 4103828111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Pratt 849 Fairmount Ave Fl 5 Towson MD 21286-2624 Ph: (410) 382-8111 | Sheppard Pratt 4510 Wharf Point Ct Belcamp MD 21017-1212 Ph: (410) 453-9553 |
| NPI Number | 1861844706 |
|---|---|
| Provider Enumeration Date | 07/03/2016 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861844706 | NPI | - | NPPES |
| 230814548 | Other | MD | MHH BHA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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