| |
6755 Business Pkwy Suite 402 Elkridge MD 21075-6753 | |
(410) 796-4742 | |
(410) 796-4729 |
Full Name | |
---|---|
Speciality | Psychologist |
Location | 6755 Business Pkwy, Elkridge, Maryland |
Authorized Official Name and Position | Janice Elaine Stevenson (PRESIDENT) |
Authorized Official Contact | 4109054763 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
6755 Business Pkwy Suite 402 Elkridge MD 21075-6753 Ph: (410) 796-4742 | 6755 Business Pkwy Suite 402 Elkridge MD 21075-6753 Ph: (410) 796-4742 |
NPI Number | 1033450317 |
---|---|
Provider Enumeration Date | 03/11/2013 |
Last Update Date | 03/11/2013 |
Medicare PECOS PAC ID | 5193048502 |
---|---|
Medicare Enrollment ID | O20141216000176 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033450317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 01842 (Maryland) | Primary |
Provider Name | Janice E Stevenson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1497706048 PECOS PAC ID: 6406827294 Enrollment ID: I20040804001272 |
J & A Positive Image Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6755 Business Pkwy, Suite 102, Elkridge, MD 21075 Phone: 443-370-5372 Fax: 410-796-1410 | |
Langley Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7830 Paragon Cir Apt 102, Elkridge, MD 21075 Phone: 410-300-7723 | |
An Incredible Me Aba Md Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6865 Deerpath Rd Ste 101, Elkridge, MD 21075 Phone: 410-220-0025 | |
Release And Govern Therapeutic Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6755 Business Pkwy Ste 309, Elkridge, MD 21075 Phone: 443-308-3618 | |
Lumos Counseling & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7270 Darby Downs Unit K, Elkridge, MD 21075 Phone: 410-852-4435 | |
Bbc Counseling And Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6391 Rowanberry Dr Apt 414, Elkridge, MD 21075 Phone: 301-720-0198 Fax: 301-288-1451 |