# NEDA KAVEH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cherry Blossom Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770257651
- **Authorized official:** DR. SONYA NEDA KAVEH MD (OWNER)
- **Authorized official phone:** (410) 428-4099

## Contact information

- **Practice address:** 5052 DORSEY HALL DR STE 102, ELLICOTT CITY, MD 21042-7797
- **Practice address phone:** (410) 428-4099
- **Mailing address:** 8084 BALTIMORE NATIONAL PIKE, SUITE 3210 \#275, ELLICOTT CITY, MD 21043
- **Mailing address phone:** (410) 428-4099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2021
- **Last updated:** 08/04/2021