| Psychexperts & Associates | |
|
611 Park Ave Suite 102 Baltimore MD 21201-4572 | |
| (410) 777-8130 | |
| (410) 777-8134 |
| Full Name | Psychexperts & Associates |
|---|---|
| Speciality | Psychologist |
| Location | 611 Park Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Beverli Mormile (PRESIDENT) |
| Authorized Official Contact | 4107778130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychexperts & Associates 611 Park Ave Suite 102 Baltimore MD 21201-4572 Ph: (410) 777-8130 | Psychexperts & Associates 611 Park Ave Suite 102 Baltimore MD 21201-4572 Ph: (410) 777-8130 |
| NPI Number | 1801152962 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 9830355585 |
|---|---|
| Medicare Enrollment ID | O20120724000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801152962 | NPI | - | NPPES |
| 1801152954 | Other | NPI INDIVIDUAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 05046 (Maryland) | Primary |
| Provider Name | Beverli B Mormile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801152954 PECOS PAC ID: 0749446490 Enrollment ID: I20120724000703 |
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