Organization
PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND
Active
Other names
PRINCE GEORGE'S COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL COOPER CPA (CHIEF FINANCIAL OFFICER)
(410) 778-9114
Entity
Organization
Contact information
Practice address
337 BRIGHTSEAT RD, SUTIE 106 AND 107, LANDOVER, MD 20785-4736
(301) 499-1474
(301) 499-0145
Mailing address
PO BOX 690, CHESTERTOWN, MD 21620-0690
(410) 778-9114
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
MD
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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