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Organization

MEDOP BEHAVIORAL HEALTH ASSOCIATES OF MARYLAND PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DONNA DOOLEY (CFO)
(800) 370-3651
Entity
Organization

Contact information

Practice address
7 SAINT PAUL ST, SUITE 820, BALTIMORE, MD 21202-1626
(800) 370-3651
(860) 510-0020
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(866) 510-0020

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
MD
1041C0700X
Clinical Social Worker
MD
2084P0800X
Psychiatry Physician
Primary
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
MD
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
MD

Other

Enumeration date
05/18/2006
Last updated
08/30/2016
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