| Pts | |
|
20 Crossroads Drive Suite 104 Owings Mills MD 21117 | |
| (443) 538-5601 | |
| Not Available |
| Full Name | Pts |
|---|---|
| Speciality | Psychologist |
| Location | 20 Crossroads Drive, Owings Mills, Maryland |
| Authorized Official Name and Position | Kimberly M. Deberry (LICENSED PSYCHOLOGIST, CEO, OWNER) |
| Authorized Official Contact | 4435385601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pts P.o. Box 2861 Columbia MD 21045 Ph: (443) 538-5601 | Pts 20 Crossroads Drive Suite 104 Owings Mills MD 21117 Ph: (443) 538-5601 |
| NPI Number | 1245591064 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245591064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4995 (Maryland) | Primary |
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