| Annapolis Psychological Services, Llc | |
|
512 State St Annapolis MD 21403-3239 | |
| (667) 401-7710 | |
| Not Available |
| Full Name | Annapolis Psychological Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 512 State St, Annapolis, Maryland |
| Authorized Official Name and Position | Judith Clifford (OWNER) |
| Authorized Official Contact | 6674017710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annapolis Psychological Services, Llc 512 State St Annapolis MD 21403-3239 Ph: (667) 401-7710 | Annapolis Psychological Services, Llc 512 State St Annapolis MD 21403-3239 Ph: (667) 401-7710 |
| NPI Number | 1023546116 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6709157720 |
|---|---|
| Medicare Enrollment ID | O20170809000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023546116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Judith Clifford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831590132 PECOS PAC ID: 7810298361 Enrollment ID: I20151229000821 |
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