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Organization

PATHLIGHT NEUROPSYCHIATRIC CENTER LLC

Active
Parent organization
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Authorized official
MARINA SHEPEL (CONTRACTING & CREDENTIALING MANAGER)
(425) 214-9321
Entity
Organization

Contact information

Practice address
55 SCHILLING RD STE 50, HUNT VALLEY, MD 21031-1135
(877) 825-8584
Mailing address
PO BOX 560901, DENVER, CO 80256-0901

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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