| Specialty Physicians Of Garrett County, Llc | |
|
922 National Hwy Ste 2 Lavale MD 21502-7325 | |
| (240) 362-7294 | |
| (240) 362-7366 |
| Full Name | Specialty Physicians Of Garrett County, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 922 National Hwy Ste 2, Lavale, Maryland |
| Authorized Official Name and Position | Tracy Lipscomb (SVP OF FINANCE & CFO) |
| Authorized Official Contact | 3015334000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Physicians Of Garrett County, Llc 922 National Hwy Ste 2 Lavale MD 21502-7325 Ph: (240) 362-7294 | Specialty Physicians Of Garrett County, Llc 922 National Hwy Ste 2 Lavale MD 21502-7325 Ph: (240) 362-7294 |
| NPI Number | 1154191500 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154191500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Steeple City Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 932 National Hwy, Lavale, MD 21502 Phone: 717-808-8400 |