Organization
BETHANY NAGEL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY NAGEL (OWNER/CLINICIAN)
(301) 518-6870
Entity
Organization
Contact information
Practice address
1200 E JOPPA RD, SUITE A1, TOWSON, MD 21286-5810
(301) 518-6870
Mailing address
2128 EASTRIDGE RD, TIMONIUM, MD 21093-3434
(301) 518-6870
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC6296
MD
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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