| Dr Steve Llc Skill Tree | |
|
1216 N Main St Frnt Hampstead MD 21074-2256 | |
| (443) 900-3999 | |
| Not Available |
| Full Name | Dr Steve Llc Skill Tree |
|---|---|
| Speciality | Psychologist |
| Location | 1216 N Main St Frnt, Hampstead, Maryland |
| Authorized Official Name and Position | Tasha Lynn Della Vecchia (PROGRAM COORDINATOR) |
| Authorized Official Contact | 4436771639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steve Llc Skill Tree 4272 Buckskin Trl Hampstead MD 21074-3102 Ph: (443) 677-1639 | Dr Steve Llc Skill Tree 1216 N Main St Frnt Hampstead MD 21074-2256 Ph: (443) 900-3999 |
| NPI Number | 1417764481 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 0345779104 |
|---|---|
| Medicare Enrollment ID | O20250123000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417764481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven Christian Dellavecchia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265746630 PECOS PAC ID: 5799955910 Enrollment ID: I20110826000031 |
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