Organization · NPI-2

Eastern Shore Psychological Services LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Easton, MD

NPI number1881781508
StatusActive
Last updated in NPPESAug 28, 2017

Details

NPI
1881781508
Entity type
Organization (NPI-2)
Legal business name
Eastern Shore Psychological Services LLC
Organization subpart
Yes
Enumeration date
Oct 6, 2006
Last updated
Aug 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

29520 Canvasback Dr
Easton, MD 21601-7124

Phone 410-822-5007 · Fax 410-822-5569

Mailing address

1113 Healthway Drive
Salisbury, MD 21804-4470

Phone 410-334-6961 · Fax 410-334-6362

Authorized official

Mary Kathryn Seifert
Executive Director Ceo
4103346961

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