| Spring Oak Psychological Services Group Llc | |
|
7801 Lythan Pl Ijamsville MD 21754-9109 | |
| (301) 938-5436 | |
| Not Available |
| Full Name | Spring Oak Psychological Services Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 7801 Lythan Pl, Ijamsville, Maryland |
| Authorized Official Name and Position | Margaret Stratton (OWNER) |
| Authorized Official Contact | 3019385436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Oak Psychological Services Group Llc 7801 Lythan Pl Ijamsville MD 21754-9109 Ph: (301) 938-5436 | Spring Oak Psychological Services Group Llc 7801 Lythan Pl Ijamsville MD 21754-9109 Ph: (301) 938-5436 |
| NPI Number | 1518623909 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Medicare PECOS PAC ID | 9335531268 |
|---|---|
| Medicare Enrollment ID | O20220126001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518623909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Margaret Stratton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396049177 PECOS PAC ID: 4183942899 Enrollment ID: I20220126001226 |
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