| Perissos Therapy Llc | |
|
28 E Susquehanna Ave Ste 205 Towson MD 21286-5218 | |
| (410) 709-8437 | |
| Not Available |
| Full Name | Perissos Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28 E Susquehanna Ave Ste 205, Towson, Maryland |
| Authorized Official Name and Position | Elizabeth Kent (OWNER) |
| Authorized Official Contact | 4107098437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perissos Therapy Llc 28 E Susquehanna Ave Ste 205 Towson MD 21286-5218 Ph: (410) 709-8437 | Perissos Therapy Llc 28 E Susquehanna Ave Ste 205 Towson MD 21286-5218 Ph: (410) 709-8437 |
| NPI Number | 1952964470 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952964470 | NPI | - | NPPES |
| DE02 | Other | MD | BCBS CAREFIRST MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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