O'Brien, Mary Elizabeth

O'Brien, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 1705 Longwood Rd , Edgewater MD 21037-2320. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. O'Brien, Mary Elizabeth can be contacted via phone (410) 303-2982.

Contact Information

Primary practice address
1705 Longwood Rd Edgewater MD 21037-2320
Fax: (410) 956-7686
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC1003 Maryland

Profile Details

NPI number 1588834493
LBN Legal business name O'Brien, Mary Elizabeth
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2008
Last updated Mar 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588834493 NPPES
Maryland MEDICAID 167750100

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