| Amy L Kopel, Llc | |
|
1107 Kenilworth Dr Suite 208 Towson MD 21204-2140 | |
| (410) 878-7490 | |
| (410) 878-7433 |
| Full Name | Amy L Kopel, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1107 Kenilworth Dr, Towson, Maryland |
| Authorized Official Name and Position | Amy L Kopel (PRACTIONER) |
| Authorized Official Contact | 4436763092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy L Kopel, Llc 311 Worthington Rd Towson MD 21286-7814 Ph: (443) 676-3092 | Amy L Kopel, Llc 1107 Kenilworth Dr Suite 208 Towson MD 21204-2140 Ph: (410) 878-7490 |
| NPI Number | 1851428163 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 09/03/2008 |
| Medicare PECOS PAC ID | 6305818915 |
|---|---|
| Medicare Enrollment ID | O20040812000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851428163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09244 (Maryland) | Primary |
| Provider Name | Amy L Kopel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831196625 PECOS PAC ID: 7315927910 Enrollment ID: I20040723000528 |
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