| Robert Lea, EDD, LP | |
|
1636 W Old Liberty Rd, Suite 1, Eldersburg, MD 21784-9335 | |
| (410) 635-8400 | |
| (410) 635-8444 |
| Full Name | Robert Lea |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1636 W Old Liberty Rd, Eldersburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184666166 | NPI | - | NPPES |
| 024202100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 02076 (Maryland) | Primary |
| Entity Name | Carroll Counseling Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710999784 PECOS PAC ID: 8123919461 Enrollment ID: O20040324000653 |
| Entity Name | Chester River Behavioral Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487676524 PECOS PAC ID: 2860469418 Enrollment ID: O20040913001247 |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518732833 PECOS PAC ID: 5092120030 Enrollment ID: O20240426003512 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Lea, EDD, LP 1636 W Old Liberty Rd, Suite 1, Eldersburg, MD 21784-9335 Ph: (410) 635-8400 | Robert Lea, EDD, LP 1636 W Old Liberty Rd, Suite 1, Eldersburg, MD 21784-9335 Ph: (410) 635-8400 |
Sandra Lashley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182 | |
David J Raznick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite 101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182 | |
Daniel P Evatt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1311 Londontown Blvd, Suite 130a, Eldersburg, MD 21784 Phone: 410-552-0773 Fax: 410-549-3197 | |
William Edward Hopkins, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1380 Progress Way, #101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182 | |
Dr. Beatrice Ann Gerry, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite 101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182 | |
Candice N Aston, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784 Phone: 410-356-9208 Fax: 443-200-0267 | |
Larney R Gump, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite 101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182 |