| Starr Behavioral Services Corp | |
|
10632 Little Patuxent Pkwy Suite 343 Columbia MD 21044 | |
| (443) 955-8683 | |
| Not Available |
| Full Name | Starr Behavioral Services Corp |
|---|---|
| Speciality | Counselor |
| Location | 10632 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Xiudi Fan (PSYCHIATRIST) |
| Authorized Official Contact | 4439558683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starr Behavioral Services Corp 10632 Little Patuxent Pkwy Suite 343 Columbia MD 21044 Ph: () - | Starr Behavioral Services Corp 10632 Little Patuxent Pkwy Suite 343 Columbia MD 21044 Ph: (443) 955-8683 |
| NPI Number | 1568869832 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Medicare PECOS PAC ID | 5597081240 |
|---|---|
| Medicare Enrollment ID | O20150224001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568869832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0059727 (Maryland) | Primary |
| Provider Name | Xiudi Fan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437169232 PECOS PAC ID: 1254423692 Enrollment ID: I20070815000542 |
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