| Dsi Psychological Services, Llc | |
|
405 Allegheny Ave Towson MD 21204-4256 | |
| (204) 753-0345 | |
| (240) 348-8897 |
| Full Name | Dsi Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 405 Allegheny Ave, Towson, Maryland |
| Authorized Official Name and Position | Daniel Isenberg (OWNER) |
| Authorized Official Contact | 2407530345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dsi Psychological Services, Llc 405 Allegheny Ave Towson MD 21204-4256 Ph: (204) 753-0345 | Dsi Psychological Services, Llc 405 Allegheny Ave Towson MD 21204-4256 Ph: (204) 753-0345 |
| NPI Number | 1235972696 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 1658819412 |
|---|---|
| Medicare Enrollment ID | O20240813000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235972696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Daniel Scott Isenberg |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1457736530 PECOS PAC ID: 2567900327 Enrollment ID: I20240813000022 |
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