| Sheppard Pratt Non Contracted Services, Llc | |
|
6525 N. Charles Street Gibson Building Towson MD 21204 | |
| (410) 938-5400 | |
| Not Available |
| Full Name | Sheppard Pratt Non Contracted Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6525 N. Charles Street, Towson, Maryland |
| Authorized Official Name and Position | Kelly Savoca (VP & CFO) |
| Authorized Official Contact | 4109385400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Pratt Non Contracted Services, Llc 6501 N Charles St Towson MD 21204-6819 Ph: (410) 938-5400 | Sheppard Pratt Non Contracted Services, Llc 6525 N. Charles Street Gibson Building Towson MD 21204 Ph: (410) 938-5400 |
| NPI Number | 1194347575 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 05/08/2020 |
| Certification Date | 05/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194347575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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