| University Care | |
|
4538 Edmondson Ave Baltimore MD 21229-1506 | |
| (410) 328-2273 | |
| (301) 631-1002 |
| Full Name | University Care |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 4538 Edmondson Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Trent Smith (SR. VICE PRESIDENT) |
| Authorized Official Contact | 4103281184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Care Po Box 64888 Baltimore MD 21264-4888 Ph: (410) 328-2273 | University Care 4538 Edmondson Ave Baltimore MD 21229-1506 Ph: (410) 328-2273 |
| NPI Number | 1629210166 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629210166 | NPI | - | NPPES |
| 400506600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
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