| Trellis Servcies, Inc | |
|
150 Lake Front Dr Cockeysville MD 21030-2215 | |
| (410) 628-1076 | |
| (410) 628-0836 |
| Full Name | Trellis Servcies, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 150 Lake Front Dr, Cockeysville, Maryland |
| Authorized Official Name and Position | Debbie Stipa (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 4106281076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trellis Servcies, Inc Po Box 1332 Cockeysville MD 21030-6332 Ph: (410) 628-1076 | Trellis Servcies, Inc 150 Lake Front Dr Cockeysville MD 21030-2215 Ph: (410) 628-1076 |
| NPI Number | 1811934045 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811934045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 03508 (Maryland) | Primary |
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