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
Fax: (410) 822-5569
Website:
Authorized official contact:
Name: Seifert, Mary Kathryn PH.D

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
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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