Organization
SEVERN PSYCHOLOGICAL AND EDUCATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GOMBATZ PHD (OWNER)
(410) 269-7789
Entity
Organization
Contact information
Practice address
353 BERKSHIRE DR, RIVA, MD 21140-1433
(410) 298-8223
(410) 298-8225
Mailing address
353 BERKSHIRE DR, RIVA, MD 21140-1433
(410) 298-8223
(410) 298-8225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1872
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136641600
—
MD
Enumeration date
05/12/2007
Last updated
02/02/2010
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