Organization
WASHINGTON COUNTY EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOYD MICHAEL PHD (SUPERINTENDENT)
(301) 766-2815
Entity
Organization
Contact information
Practice address
10435 DOWNSVILLE PIKE, HAGERSTOWN, MD 21740-1732
(301) 766-8222
(301) 791-6716
Mailing address
10435 DOWNSVILLE PIKE, HAGERSTOWN, MD 21740-1732
(301) 766-8222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TS0200X
School Psychologist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541448200
—
MD
Enumeration date
02/23/2007
Last updated
09/10/2021
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