| Pnag, Inc | |
|
1620 Providence Rd Towson MD 21286-1525 | |
| (410) 231-7556 | |
| Not Available |
| Full Name | Pnag, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1620 Providence Rd, Towson, Maryland |
| Authorized Official Name and Position | Phyllis Guthua (PSYCHOLOGIST) |
| Authorized Official Contact | 4108033427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pnag, Inc 1620 Providence Rd Towson MD 21286-1525 Ph: (410) 231-7556 | Pnag, Inc 1620 Providence Rd Towson MD 21286-1525 Ph: (410) 231-7556 |
| NPI Number | 1083311138 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083311138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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