| Sheppard Pratt | |
|
2225 N Charles St Baltimore MD 21218-5778 | |
| (410) 366-4360 | |
| (410) 308-8926 |
| Full Name | Sheppard Pratt |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2225 N Charles St, Baltimore, 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 Po Box 45709 Baltimore MD 21297-5709 Ph: (410) 453-9553 | Sheppard Pratt 2225 N Charles St Baltimore MD 21218-5778 Ph: (410) 366-4360 |
| NPI Number | 1598084626 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598084626 | NPI | - | NPPES |
| 190205735 | Other | MD | MDH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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