Jeffrey Lafferman
Clinic/Center, Mental Health (Including Community Mental Health Center) in Essex, MD. Organization (NPI-2).
NPI number1629472931
StatusActive
Last updated in NPPESOct 15, 2014
Details
- NPI
- 1629472931
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffrey Lafferman
- Organization subpart
- No
- Enumeration date
- Oct 15, 2014
- Last updated
- Oct 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | LC5790 | MD | Yes |
Practice location
912 Sun Circle WayEssex, MD 21221-5946
Phone 410-428-6032 · Fax 410-391-4381
Mailing address
912 Sun Circle WayEssex, MD 21221-5946
Phone 410-428-6032 · Fax 410-391-4381
Authorized official
Debora Marie Floyd
Psychiatric Consultant
4104286032
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