Black, Maureen M
Black, Maureen M is an individual health care provider with primary practice located at 120 Penn St , Baltimore MD 21201-1082. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Black, Maureen M can be contacted via phone (410) 328-8336.Contact Information
Primary practice address
120 Penn St
Baltimore MD 21201-1082
Phone: (410) 328-8336
Fax: (410) 328-4379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1367 | Maryland |
Profile Details
| NPI number | 1932141074 |
|---|---|
| LBN Legal business name | Black, Maureen M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 6th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932141074 | NPPES |
| Maryland | MEDICAID | 737510700 |
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