| Stevenson Psychological Associates Llc | |
|
6755 Business Pkwy Suite 402 Elkridge MD 21075-6753 | |
| (410) 796-4742 | |
| (410) 796-4729 |
| Full Name | Stevenson Psychological Associates Llc |
|---|---|
| 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 |
|---|---|
| Stevenson Psychological Associates Llc 6755 Business Pkwy Suite 402 Elkridge MD 21075-6753 Ph: (410) 796-4742 | Stevenson Psychological Associates Llc 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 |
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