Canton Psychological Services

LBN: Patricia J Lackey Phd Pa
Canton Psychological Services is an health care organization with primary practice located at 2801 Foster Avenue , Baltimore MD 21224-3816. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Patricia J Lackey Phd Pa can be contacted via phone (410) 499-7792, or through Lackey, Patricia J via phone (410) 499-7792.

Contact Information

Primary practice address
2801 Foster Avenue Baltimore MD 21224-3816
Phone: (410) 499-7792
Fax: (410) 732-7427
Website:
Map and Directions
Authorized official contact:
Name: Lackey, Patricia J PHD
Phone: (410) 499-7792

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03096 Maryland

Profile Details

NPI number 1588855662
LBN Legal business name Patricia J Lackey Phd Pa
DBA Doing business as Canton Psychological Services
Authorized official Lackey, Patricia J PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 2007 - about 17 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 1588855662 NPPES
Maryland Other K74 MD BC AND BS

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