Organization
PSYCHOTHERAPEUTIC SERVICES, INC
Active
Parent organization
PSYCHOTHERAPEUTIC SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHOTHERAPEUTIC SERVICES, INC
Authorized official
RANDALL COOPER CPA (CFO)
(410) 778-9114
Entity
Organization
Contact information
Practice address
1990 ALLEN RD, SUITE F, GREENVILLE, NC 27834-0058
(252) 756-1005
(252) 756-1085
Mailing address
870 HIGH ST, SUITE 2, CHESTERTOWN, MD 21620-3909
(410) 778-9114
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301181
—
NC
Enumeration date
08/31/2007
Last updated
08/31/2007
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