Dr Diane Carla Pomerantz, PHD | |
660 Kenilworth Dr Ste 101, Towson, MD 21204-2353 | |
(410) 653-9079 | |
(410) 887-5384 |
Full Name | Dr Diane Carla Pomerantz |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 660 Kenilworth Dr Ste 101, Towson, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013101864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 01580 (Maryland) | Primary |
Entity Name | Windrush Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124404421 PECOS PAC ID: 5890002224 Enrollment ID: O20150917002164 |
Mailing Address | Practice Location Address |
---|---|
Dr Diane Carla Pomerantz, PHD 4 Poinsettia Ct, Baltimore, MD 21209-1109 Ph: (410) 653-9079 | Dr Diane Carla Pomerantz, PHD 660 Kenilworth Dr Ste 101, Towson, MD 21204-2353 Ph: (410) 653-9079 |
Annmarie Cote, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6901 N Charles St, Towson, MD 21204 Phone: 443-809-4130 | |
Marion Clay, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6901 N Charles St, Towson, MD 21204 Phone: 443-809-7008 | |
Dr. Sara Ann Mix, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Charles St, Towson, MD 21204 Phone: 443-881-2028 Fax: 410-833-4102 | |
Frank Douglas Valchar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6901 N Charles St, Towson, MD 21204 Phone: 301-906-0578 | |
Michele Renee Middleton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6901 N Charles St, Towson, MD 21204 Phone: 443-809-4130 | |
Dr. Virginia Tai Runko, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6535 N Charles St, Suite 550, Towson, MD 21204 Phone: 410-494-1662 |