Organization
PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND, INC.
Active
Organization
PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL L COOPER CPA (CFO)
(410) 778-9114
Entity
Organization
Contact information
Practice address
870 HIGH ST STE 2, CHESTERTOWN, MD 21620-3914
(410) 778-9114
(410) 778-7988
Mailing address
870 HIGH ST STE 2, CHESTERTOWN, MD 21620-3914
(410) 778-9114
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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