| M.a. Telepsych Llc | |
|
10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 | |
| (240) 512-6353 | |
| (240) 307-4030 |
| Full Name | M.a. Telepsych Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10440 Little Patuxent Pkwy Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Maryam Adebayo (FOUNDER) |
| Authorized Official Contact | 2405126353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.a. Telepsych Llc 10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 Ph: (240) 512-6353 | M.a. Telepsych Llc 10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 Ph: (240) 512-6353 |
| NPI Number | 1114527769 |
|---|---|
| Provider Enumeration Date | 10/31/2020 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114527769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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