Organization
PSYCHOTHERAPEUTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL L COOPER CPA (CFO)
(410) 778-9114
Entity
Organization
Contact information
Practice address
3 CENTERVIEW DR, THE HICKORY BUILDING, SUITE 150, GREENSBORO, NC 27407-3725
(336) 834-9664
(336) 834-9698
Mailing address
870 HIGH ST, CHESTERTOWN, MD 21620-3914
(410) 778-9114
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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