| Providence Mental Health | |
|
2345 York Rd Ste 201 Timonium MD 21093-2279 | |
| (571) 331-8617 | |
| Not Available |
| Full Name | Providence Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2345 York Rd Ste 201, Timonium, Maryland |
| Authorized Official Name and Position | Abdolazim Shahsavar (PHYSICIAN AND THE PRACTICE OWNER) |
| Authorized Official Contact | 5713318617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Mental Health 527 Chatterton Rd Timonium MD 21093-1934 Ph: (571) 331-8617 | Providence Mental Health 2345 York Rd Ste 201 Timonium MD 21093-2279 Ph: (571) 331-8617 |
| NPI Number | 1689133183 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689133183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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