Eastern Shore Psychological Services, Llc
LBN: Eastern Shore Psychological Services, Llc
Eastern Shore Psychological Services, Llc is an health care organization with primary practice located at 29520 Canvasback Dr , Easton MD 21601-7124. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty.
Eastern Shore Psychological Services, Llc can be contacted via phone (410) 822-5007, or through Seifert, Mary Kathryn via phone (410) 334-6961.
Contact Information
Primary practice address
29520 Canvasback Dr
Easton MD 21601-7124
Phone: (410) 822-5007
Fax: (410) 822-5569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1659630523 |
|---|---|
| LBN Legal business name | Eastern Shore Psychological Services, Llc |
| DBA Doing business as | |
| Authorized official | Seifert, Mary Kathryn PH.D |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 11th, 2012 |
| Last updated | Jul 31st, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659630523 | NPPES |
| Maryland | Other | R968 | CAREFIRST BCBS-FEDERAL |
| Maryland | MEDICAID | 520202701 | CAREFIRST BCBS-FEDERAL |
| Maryland | Other | LM49EA | CAREFIRST BCBS-FEDERAL |
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