| Yula Ponticas, Ph.d., P.a. | |
|
1104 Kenilworth Dr Suite 210 Towson MD 21204-2101 | |
| (410) 828-8824 | |
| (410) 828-8823 |
| Full Name | Yula Ponticas, Ph.d., P.a. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1104 Kenilworth Dr, Towson, Maryland |
| Authorized Official Name and Position | Yula Ponticas (PRESIDENT) |
| Authorized Official Contact | 4108288824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yula Ponticas, Ph.d., P.a. 1104 Kenilworth Dr Suite 210 Towson MD 21204-2101 Ph: (410) 828-8824 | Yula Ponticas, Ph.d., P.a. 1104 Kenilworth Dr Suite 210 Towson MD 21204-2101 Ph: (410) 828-8824 |
| NPI Number | 1255625844 |
|---|---|
| Provider Enumeration Date | 06/01/2011 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255625844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 02426 (Maryland) | Primary |
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