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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