| Anxiety And Stress Disorders Institute Of Maryland | |
|
6525 N Charles St Ste 224 Towson MD 21204-6872 | |
| (410) 938-8449 | |
| (410) 825-7105 |
| Full Name | Anxiety And Stress Disorders Institute Of Maryland |
|---|---|
| Speciality | Counselor |
| Location | 6525 N Charles St, Towson, Maryland |
| Authorized Official Name and Position | Steve L Shearer (CO-DIRECTOR) |
| Authorized Official Contact | 4109388452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anxiety And Stress Disorders Institute Of Maryland 6525 N Charles St Ste 224 Towson MD 21204-6872 Ph: (410) 938-8449 | Anxiety And Stress Disorders Institute Of Maryland 6525 N Charles St Ste 224 Towson MD 21204-6872 Ph: (410) 938-8449 |
| NPI Number | 1154422731 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1850341215 |
|---|---|
| Medicare Enrollment ID | O20050125000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154422731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Maryland) | Primary |
| Provider Name | Jonathan Mattanah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750417598 PECOS PAC ID: 1153371513 Enrollment ID: I20050125000116 |
| Provider Name | Lisa C Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619000346 PECOS PAC ID: 4587683909 Enrollment ID: I20051115000806 |
| Provider Name | Carol A Halpin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679659023 PECOS PAC ID: 9032287768 Enrollment ID: I20081008000614 |
| Provider Name | Teri R Rich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538447479 PECOS PAC ID: 2961620604 Enrollment ID: I20140821002427 |
| Provider Name | Lisa M Beauvois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114298726 PECOS PAC ID: 5890031298 Enrollment ID: I20190107000095 |
| Provider Name | Beth S Surbeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871711275 PECOS PAC ID: 9739420886 Enrollment ID: I20190418000297 |
| Provider Name | Kathryn Delonga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114393071 PECOS PAC ID: 5395163976 Enrollment ID: I20200806002843 |
| Provider Name | Dorothy L Fahy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770248767 PECOS PAC ID: 5890160519 Enrollment ID: I20231206002790 |
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