Organization
HESTICK PSYCHOLOGICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRIETTA HESTICK PH.D. (PRESIDENT)
(410) 944-4400
Entity
Organization
Contact information
Practice address
7501 LIBERTY RD STE G, BALTIMORE, MD 21207-3870
(410) 944-4400
Mailing address
7501 LIBERTY RD STE G, BALTIMORE, MD 21207-3870
(410) 944-4400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02130
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G269
CAREFIRST/ BLUE CROSS BLU
MD
01
—
214517
ALLIANCE/VALUE OPTIONS
MD
Enumeration date
08/01/2006
Last updated
08/22/2020
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