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Organization

JOHN BURTON DRISCOLL

Active
Other names
Bay Area Behavioral Health LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN B DRISCOLL PHD (DIRECTOR OWNER)
(410) 315-9350
Entity
Organization

Contact information

Practice address
650 RITCHIE HIGHWAY, SUITE 207, SEVERNA PARK, MD 21146-3916
(410) 315-9350
(410) 315-9353
Mailing address
650 RITCHIE HIGHWAY, SUITE 207, SEVERNA PARK, MD 21146-3916
(410) 315-9350
(410) 315-9353

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01320
MD

Other

Enumeration date
05/10/2006
Last updated
07/03/2008
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