| Remedy Telepsychiatry | |
|
6571 Huntshire Dr Elkridge MD 21075-6165 | |
| (240) 423-1315 | |
| Not Available |
| Full Name | Remedy Telepsychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6571 Huntshire Dr, Elkridge, Maryland |
| Authorized Official Name and Position | Patricia Ntali (OWNER) |
| Authorized Official Contact | 2404231315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Remedy Telepsychiatry 6571 Huntshire Dr Elkridge MD 21075-6165 Ph: (240) 423-1315 | Remedy Telepsychiatry 6571 Huntshire Dr Elkridge MD 21075-6165 Ph: (240) 423-1315 |
| NPI Number | 1235898669 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 2264824796 |
|---|---|
| Medicare Enrollment ID | O20220113001205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235898669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Patricia Ndepnou Ntali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639731276 PECOS PAC ID: 9133538986 Enrollment ID: I20210506001399 |
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