Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL G SLAGLE (PRACTICE MANAGER)
(410) 576-9191
Entity
Organization
Contact information
Practice address
21 W 25TH ST, BALTIMORE, MD 21218-5003
(410) 366-1717
(410) 889-4167
Mailing address
201 N CHARLES ST, SUITE 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
01/30/2014
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