Organization
PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND
Active
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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