| Eastern Shore Psychological Services Llc | |
|
29520 Canvasback Dr Easton MD 21601-7124 | |
| (410) 822-5007 | |
| (410) 822-5569 |
| Full Name | Eastern Shore Psychological Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 29520 Canvasback Dr, Easton, Maryland |
| Authorized Official Name and Position | Mary Kathryn Seifert (EXECUTIVE DIRECTOR CEO) |
| 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 1113 Healthway Drive Salisbury MD 21804-4470 Ph: (410) 334-6961 | Eastern Shore Psychological Services Llc 29520 Canvasback Dr Easton MD 21601-7124 Ph: (410) 822-5007 |
| NPI Number | 1881781508 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881781508 | NPI | - | NPPES |
| 346646 | Other | MD | MHN |
| 609500301 | Medicaid | MD | |
| 1659630523 | Medicaid | MD | |
| 259147000 | Other | MD | MAGELLAN |
| 517251 | Other | UHC MAMSI | |
| 1386717189 | Medicaid | MD | |
| 520202701 | Medicaid | MD | |
| LM49EA | Other | MD | BCBS GROUP |
| 609550002 | Medicaid | MD | |
| R968 | Other | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Coastal Counseling & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 S Hanson St Ste 5, Easton, MD 21601 Phone: 443-786-5437 | |
Frh2 Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29388 Golton Dr, Easton, MD 21601 Phone: 240-626-4933 | |
Talbot County Public Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Magnolia St, Easton, MD 21601 Phone: 410-822-0330 Fax: 410-822-3959 | |
Susan Knade Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N West St Ste A, Easton, MD 21601 Phone: 410-310-6215 | |
Terry P Detrich Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 S Washington St, Easton, MD 21601 Phone: 410-822-6677 Fax: 410-820-5717 | |
Talbot County Public Schools Infant & Toddler Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Magnolia St, Easton, MD 21601 Phone: 410-822-0330 Fax: 410-822-3959 | |
Community Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8614 Ocean Gtwy, Easton, MD 21601 Phone: 844-224-5264 Fax: 888-509-0010 |