Organization
EASTERN SHORE PSYCHOLOGICAL SERVICE
Active
Parent organization
EASTERN SHORE PSYCHOLOGICAL SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN SHORE PSYCHOLOGICAL SERVICE
Authorized official
DR. MARY KATHYRN SEIFERT PHD (EXECUTIVE DIRECTOR CEO)
(410) 334-6961
Entity
Organization
Contact information
Practice address
1113 HEALTHWAY DRIVE, SALISBURY, MD 21804
(410) 334-6961
(410) 334-6960
Mailing address
1113 HEALTHWAY DRIVE, SALISBURY, MD 21804
(410) 334-6961
(410) 334-6960
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609500300
—
MD
Enumeration date
11/17/2006
Last updated
01/11/2017
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