| Eastern Shore Psychological Services, Llc | |
|
315 High St Ste 201 Chestertown MD 21620-1350 | |
| (410) 334-6961 | |
| Not Available |
| Full Name | Eastern Shore Psychological Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 315 High St Ste 201, Chestertown, Maryland |
| Authorized Official Name and Position | Cathy K Burkhard (ESPS BILLING SUPERVISOR & CREDENTIA) |
| Authorized Official Contact | 4103346961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Shore Psychological Services, Llc 2336 Goddard Pkwy Salisbury MD 21801-1126 Ph: (410) 334-6961 | Eastern Shore Psychological Services, Llc 315 High St Ste 201 Chestertown MD 21620-1350 Ph: (410) 334-6961 |
| NPI Number | 1912356684 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912356684 | NPI | - | NPPES |
| 520202703 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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