Organization
PHOENIXPSYCHOLOGICALSERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLA R SCHEIDLE PMHCNS-BC (OWNER/CEO)
(410) 287-4744
Entity
Organization
Contact information
Practice address
1930 TURKEY POINT RD, NORTH EAST, MD 21901-5452
(410) 287-4744
(443) 403-0364
Mailing address
1930 TURKEY POINT RD, NORTH EAST, MD 21901-5452
(410) 287-4744
(443) 403-0364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R070399
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402020100
—
MD
Enumeration date
05/17/2011
Last updated
04/18/2016
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