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11350 Mccormick Ep 1 Rd Ste 408 Hunt Valley MD 21031-1050 | |
(410) 927-5462 | |
Not Available |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 11350 Mccormick Ep 1 Rd Ste 408, Hunt Valley, Maryland |
Authorized Official Name and Position | Jonathan Hershfield (PRESIDENT) |
Authorized Official Contact | 8186361271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11350 Mccormick Ep 1 Rd Ste 408 Hunt Valley MD 21031-1050 Ph: (410) 927-5462 | 11350 Mccormick Ep 1 Rd Ste 408 Hunt Valley MD 21031-1050 Ph: (410) 927-5462 |
NPI Number | 1871941229 |
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Provider Enumeration Date | 05/26/2016 |
Last Update Date | 05/26/2016 |
Identifier | Type | State | Issuer |
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1871941229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | MFC50490 (California) | Primary |
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