| Cabin John Psychiatry, Llc | |
|
6500 Seven Locks Rd Suite 206 Cabin John MD 20818-1300 | |
| (301) 320-3701 | |
| (301) 320-3774 |
| Full Name | Cabin John Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6500 Seven Locks Rd, Cabin John, Maryland |
| Authorized Official Name and Position | Kristin Mary Sorensen-tanenbaum (NURSE PRACTITIONER/OFFICE MANAGER) |
| Authorized Official Contact | 3017416101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabin John Psychiatry, Llc 6500 Seven Locks Rd Suite 206 Cabin John MD 20818-1300 Ph: (301) 320-3701 | Cabin John Psychiatry, Llc 6500 Seven Locks Rd Suite 206 Cabin John MD 20818-1300 Ph: (301) 320-3701 |
| NPI Number | 1790217214 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790217214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D19680 (Maryland) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R160645 (Maryland) | Secondary |
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