Organization
CHESAPEAKE BAY PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE MARIE SMITHMYER PHD (OWNER PSYCHOLOGIST)
(410) 604-0226
Entity
Organization
Contact information
Practice address
155 LOG CANOE CIR, STEVENSVILLE, MD 21666
(410) 604-0226
(877) 643-0126
Mailing address
155 LOG CANOE CIR, STEVENSVILLE, MD 21666-2127
(410) 604-0226
(877) 643-0126
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03850
MD
103TC0700X
Clinical Psychologist
03850
MD
103TC2200X
Clinical Child & Adolescent Psychologist
03850
MD
103TF0000X
Family Psychologist
03850
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922164177
INDIVIDUAL NPI OF OWNER
—
Enumeration date
04/04/2007
Last updated
10/20/2020
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