Psychotherapeutic Services Of Southern Maryland | |
105 Paul Mellon Ct Suite 19, 20 Waldorf MD 20602-2762 | |
(301) 638-7787 | |
(301) 638-7768 |
Full Name | Psychotherapeutic Services Of Southern Maryland |
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Speciality | Psychologist - Group Psychotherapy |
Location | 105 Paul Mellon Ct, Waldorf, Maryland |
Authorized Official Name and Position | Randall Cooper (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4107789114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychotherapeutic Services Of Southern Maryland Po Box 690 Chestertown MD 21620-0690 Ph: (410) 778-9114 | Psychotherapeutic Services Of Southern Maryland 105 Paul Mellon Ct Suite 19, 20 Waldorf MD 20602-2762 Ph: (301) 638-7787 |
NPI Number | 1003988627 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1003988627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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