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Millersville Psychological Services LLC

Psychologist, Counseling in Millersville, MD. Organization (NPI-2).

NPI number1033073754
StatusActive
Last updated in NPPESDec 16, 2025

Details

NPI
1033073754
Entity type
Organization (NPI-2)
Legal business name
Millersville Psychological Services LLC
Organization subpart
No
Enumeration date
Dec 16, 2025
Last updated
Dec 16, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC1900X Psychologist, Counseling––Yes

Practice location

1110 Benfield Blvd Ste H
Millersville, MD 21108

Phone 443-562-1462 · Fax 410-987-4710

Mailing address

1110 Benfield Blvd Ste H
Millersville, MD 21108

Phone 443-562-1462 · Fax 410-987-4710

Authorized official

Lawrence G Iacarino
Director
4435621462

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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