Individual
NELSON G BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
204 E JOPPA ROAD PH16, TOWSON, MD 21286
(410) 337-9441
(410) 339-7169
Mailing address
602 LAKE DRIVE, TOWSON, MD 21286
(410) 583-7256
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01720
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00874
VALUE OPTIONS
—
01
—
221724
COMPSYCH
—
01
—
24097
JOHN HOPKINS EHP
—
01
—
245893
MAMSI
—
01
—
58050001
CARE FIRST BCBS
MD
01
—
6148825
UNITED BEHAVIORAL HEALTH
—
Enumeration date
11/30/2006
Last updated
07/08/2007
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