| Psychology Consultants Assoc | |
|
1205 York Rd Lutherville MD 21093-6210 | |
| (410) 998-3920 | |
| (410) 998-3931 |
| Full Name | Psychology Consultants Assoc |
|---|---|
| Speciality | Psychologist |
| Location | 1205 York Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Louise Macy (BILLING MGR) |
| Authorized Official Contact | 4109983920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Consultants Assoc 11421 Cronhill Dr Owings Mills MD 21117-2222 Ph: (410) 998-3920 | Psychology Consultants Assoc 1205 York Rd Lutherville MD 21093-6210 Ph: (410) 998-3920 |
| NPI Number | 1336354349 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 12/08/2011 |
| Medicare PECOS PAC ID | 6507093960 |
|---|---|
| Medicare Enrollment ID | O20131211000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336354349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 00457 (Maryland) | Primary |
| Provider Name | Jeffrey William Sheggrud |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235384645 PECOS PAC ID: 6406119908 Enrollment ID: I20180417001773 |
| Provider Name | Jerome Kowalewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962617977 PECOS PAC ID: 2365705738 Enrollment ID: I20180417002227 |
| Provider Name | Alexandra Caitlyn Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700461787 PECOS PAC ID: 7719349489 Enrollment ID: I20240911001714 |
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