Organization
CPE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN LABELLARTE SR. M.D. (PRINCIPLE)
(410) 979-2326
Entity
Organization
Contact information
Practice address
711 W 40TH ST, 428, BALTIMORE, MD 21211-2120
(410) 979-2326
(877) 979-2327
Mailing address
711 W 40TH ST, 428, BALTIMORE, MD 21211-2120
(410) 979-2326
(877) 979-2327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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