Psychotherapeutic Services Of Southern Maryland

NPI 1003988627 - Psychologist - 103TP2701X

NPI Details
NPI 1003988627
Enumeration Date 11/15/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDALL RANDALL
Position CHIEF FINANCIAL OFFICER
Phone (301) 638-7787
Fax (301) 638-7768
Practice Location
105 PAUL MELLON CT
SUITE 19, 20
WALDORF MD, 20602-2762, US
Phone (301) 638-7787
Fax (301) 638-7768
Business Location
PO BOX 690
CHESTERTOWN MD, 21620-0690, US
Phone (410) 778-9114
Fax (410) 778-7988
Toxanomy
Taxonomy Code 103TP2701X
License State
License Number
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According to our database, Psychotherapeutic Services Of Southern Maryland NPI is 1003988627, taxonomy code is 103TP2701X Psychotherapeutic Services Of Southern Maryland physically located at 105 Paul Mellon Ct, Waldorf MD, 20602-2762. NPI Number 1033115704 has the healthcare provider type.

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1003988627 NPI number is provided on an as is basis without warranty of any kind. 1003988627 is maintained by the National Plan & Provider Enumeration System. The contents of Psychotherapeutic Services Of Southern Maryland are for informational purposes only.