| Dr Donna Lorraine Ticknor, MD | |
| 1600 Crain Hwy S Ste 608, Glen Burnie, MD 21061-6442 | |
| (410) 205-9205 | |
| (619) 268-5973 | 
| Full Name | Dr Donna Lorraine Ticknor | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 1600 Crain Hwy S Ste 608, Glen Burnie, Maryland | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720131295 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD32440 (District Of Columbia) | Secondary | 
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0086372 (Maryland) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Donna Lorraine Ticknor, MD 408 Kathe Ct, Riva, MD 21140-1312 Ph: (301) 996-2949 | Dr Donna Lorraine Ticknor, MD 1600 Crain Hwy S Ste 608, Glen Burnie, MD 21061-6442 Ph: (410) 205-9205 | 
| Bhavana Sharma, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 | |
| Larry Webster Blum, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 203 Hospital Dr Ste 200, Glen Burnie, MD 21061 Phone: 410-553-8160 Fax: 410-553-8159 | |
| Steven Roy Daviss, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4897 Fax: 410-595-1933 | |
| Dr. Madhu Sreekanth Jasti, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 203 Hospital Dr Ste 200, Glen Burnie, MD 21061 Phone: 410-553-8160 Fax: 410-553-8159 | |
| Dr. Philip Bryan Dvoskin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1406b Crain Hwy S, Ste 301, Glen Burnie, MD 21061 Phone: 410-760-5588 Fax: 410-760-9727 | |
| Dr. Lashire J Diegue, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4490 | |
| Dr. Harshad R Mody, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7310 Ritchie Hwy, Suite 710, Glen Burnie, MD 21061 Phone: 410-760-5599 Fax: 410-760-3917 |