| Psychotherapeutic Rehabilation Services | |
|
337 Brightseat Rd Suite 106 & 107 Landover MD 20785-4736 | |
| (301) 499-6870 | |
| (301) 499-1448 |
| Full Name | Psychotherapeutic Rehabilation Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 337 Brightseat Rd, Landover, Maryland |
| Authorized Official Name and Position | Randall Cooper (CFO) |
| Authorized Official Contact | 4107789114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Rehabilation Services 820 High Street Suite 2 Chestertown MD 21620-3909 Ph: (410) 778-9114 | Psychotherapeutic Rehabilation Services 337 Brightseat Rd Suite 106 & 107 Landover MD 20785-4736 Ph: (301) 499-6870 |
| NPI Number | 1356484547 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356484547 | NPI | - | NPPES |
| 589411500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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