| I-matter, Llc | |
|
8511 Loch Raven Blvd Upper Level (a) Towson MD 21286-2302 | |
| (410) 497-5840 | |
| (410) 497-5797 |
| Full Name | I-matter, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8511 Loch Raven Blvd, Towson, Maryland |
| Authorized Official Name and Position | Angela Barber (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4432640127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I-matter, Llc 8511 Loch Raven Blvd Upper Level (a) Towson MD 21286-2302 Ph: (410) 497-5840 | I-matter, Llc 8511 Loch Raven Blvd Upper Level (a) Towson MD 21286-2302 Ph: (410) 497-5840 |
| NPI Number | 1780313486 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/05/2023 |
| Medicare PECOS PAC ID | 3577975051 |
|---|---|
| Medicare Enrollment ID | O20201208001679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780313486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alysia Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467122689 PECOS PAC ID: 5890108823 Enrollment ID: I20220407000047 |
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