Reston, Spencer Eleanor

Reston, Spencer Eleanor is an individual health care provider with primary practice located at 120 Sister Pierre Drive Ste 403, Psych Associates Of Maryland Llc, Towson MD 21204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reston, Spencer Eleanor can be contacted via phone (410) 823-6408.

Contact Information

Primary practice address
120 Sister Pierre Drive Ste 403, Psych Associates Of Maryland Llc Towson MD 21204
Phone: (410) 823-6408
Fax: (443) 279-0537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07899 Maryland

Profile Details

NPI number 1528005972
LBN Legal business name Reston, Spencer Eleanor
Credentials LCSWC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1528005972 NPPES
Other 2131678 CIGN
Other 2131678 CIGN
Other 53075805 CIGN
Other 026619 CIGN
Other 253554 CIGN
Other 0017 CIGN
Other 331830 CIGN
Other 398511 CIGN
Other PVPB120034 CIGN
Other 2254027 CIGN
Other 252450 CIGN
Other 53075805 CIGN
Other K452 CIGN
Other 150NK977 CIGN
Other 226289 CIGN
Other PVPB120034 CIGN
Other 226289 CIGN

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