| Stony Run Psychology & Wellness, Llc | |
|
711 W 40th St # 153-363 Baltimore MD 21211-2120 | |
| (410) 538-2814 | |
| Not Available |
| Full Name | Stony Run Psychology & Wellness, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 711 W 40th St # 153-363, Baltimore, Maryland |
| Authorized Official Name and Position | Rachel Lafleur (OWNER) |
| Authorized Official Contact | 4105382814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stony Run Psychology & Wellness, Llc 1415 Redfern Ave Baltimore MD 21211-1530 Ph: (404) 271-7648 | Stony Run Psychology & Wellness, Llc 711 W 40th St # 153-363 Baltimore MD 21211-2120 Ph: (410) 538-2814 |
| NPI Number | 1023642675 |
|---|---|
| Provider Enumeration Date | 02/22/2020 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023642675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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