| S Barbara Perry Llc | |
|
25 W Chesapeake Ave Towson MD 21204-4820 | |
| (410) 984-3362 | |
| (410) 339-3475 |
| Full Name | S Barbara Perry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 W Chesapeake Ave, Towson, Maryland |
| Authorized Official Name and Position | Stephanie Barbara Perry (LCSW-C) |
| Authorized Official Contact | 4109843362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Barbara Perry Llc 25 W Chesapeake Ave Towson MD 21204-4820 Ph: (410) 984-3362 | S Barbara Perry Llc 25 W Chesapeake Ave Towson MD 21204-4820 Ph: (410) 984-3362 |
| NPI Number | 1366740078 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Medicare PECOS PAC ID | 2769665934 |
|---|---|
| Medicare Enrollment ID | O20110325000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366740078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 07087 (Maryland) | Primary |
| Provider Name | Stephanie B Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144362260 PECOS PAC ID: 3678756848 Enrollment ID: I20110325000017 |
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