| Psych Practitioner | |
|
1014 W 36th St Ste 644 Baltimore MD 21211-2415 | |
| (443) 610-5727 | |
| Not Available |
| Full Name | Psych Practitioner |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1014 W 36th St Ste 644, Baltimore, Maryland |
| Authorized Official Name and Position | Julie Ernst (OWNER) |
| Authorized Official Contact | 4436105727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Practitioner 1014 W 36th St Ste 644 Baltimore MD 21211-2415 Ph: (443) 610-5727 | Psych Practitioner 1014 W 36th St Ste 644 Baltimore MD 21211-2415 Ph: (443) 610-5727 |
| NPI Number | 1154138642 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154138642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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