| Mr Paul David Ims Iii, LGPC | |
|
130 Hospital Rd Ste 101, Prince Frederick, MD 20678-4029 | |
| (410) 535-2500 | |
| Not Available |
| Full Name | Mr Paul David Ims Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 130 Hospital Rd Ste 101, Prince Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912543802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LGP10049 (Maryland) | Primary |
| Entity Name | Chesapeake Neurology And Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275594640 PECOS PAC ID: 2961893045 Enrollment ID: O20211228001100 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul David Ims Iii, LGPC 2304 Cardinal Way, Chesapeake Beach, MD 20732-4655 Ph: (410) 610-5140 | Mr Paul David Ims Iii, LGPC 130 Hospital Rd Ste 101, Prince Frederick, MD 20678-4029 Ph: (410) 535-2500 |
Ann L. Ueno, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 975 Solomons Island Road, Prince Frederick, MD 20678 Phone: 410-535-5400 Fax: 410-414-9413 | |
Mrs. Patricia Lynn Taylor, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 280 Stafford Rd, Prince Frederick, MD 20678 Phone: 410-535-3079 Fax: 410-535-2220 | |
Mr. Jason Robert Phelan, BA-ADP Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Solomons Island Rd N, Prince Frederick, MD 20678 Phone: 410-535-3079 Fax: 410-535-2220 | |
Dr. Sheila Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Duke St Ste 203, Prince Frederick, MD 20678 Phone: 443-295-8955 | |
Patricia Cecilia Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Solomons Island Rd N Ste 119, Prince Frederick, MD 20678 Phone: 410-535-5400 Fax: 410-414-9413 | |
Mrs. Terri Lisa Gunkel, CSC-ADP Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Solomons Island Road N, Prince Frederick, MD 20678 Phone: 410-535-5400 Fax: 410-535-0736 | |
Alison Witmer Thir, PSY.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 Main St Ste 202, Prince Frederick, MD 20678 Phone: 301-744-7775 |