| Dr Leo F Fenzel Jr, PHD | |
|
28 Allegheny Ave, Suite 1208, Towson, MD 21204-3909 | |
| (410) 617-2640 | |
| (410) 617-5097 |
| Full Name | Dr Leo F Fenzel Jr |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 28 Allegheny Ave, 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 |
|---|---|---|---|
| 1124106000 | NPI | - | NPPES |
| 02810 | Other | MD | PSYCHOLOGIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 02810 (Maryland) | Primary |
| Entity Name | Safe Harbor Behavioral Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leo F Fenzel Jr, PHD 28 Allegheny Ave, Suite 1208, Towson, MD 21204-3909 Ph: (410) 617-2640 | Dr Leo F Fenzel Jr, PHD 28 Allegheny Ave, Suite 1208, Towson, MD 21204-3909 Ph: (410) 617-2640 |
Dr. Diane Carla Pomerantz, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 660 Kenilworth Dr Ste 101, Towson, MD 21204 Phone: 410-653-9079 Fax: 410-887-5384 | |
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 | |
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 | |
Dr. Kenneth B. Morgen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 28 Allegheny Ave Ste 1304, Towson, MD 21204 Phone: 443-326-5861 Fax: 410-628-8900 | |
Dr. Ruth Stine, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1107 Kenilworth Dr, Suite 208, Towson, MD 21204 Phone: 443-536-2395 Fax: 410-878-7433 | |
Mr. Kenneth David Zeigler, MSW LCSWC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8600 Lasalle Road, The Chester Building Suite 325, Towson, MD 21286 Phone: 410-321-6035 Fax: 410-321-6176 | |
Scarlett Karen Jett, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204 Phone: 410-832-2729 Fax: 410-832-5783 |