Organization
BROOK LANE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE BARKDOLL (COORDINATOR/MANAGED CARE)
(301) 733-0331
Entity
Organization
Contact information
Practice address
13218 BROOKLANE DR, HAGERSTOWN, MD 21742
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986965400
—
MD
Enumeration date
05/18/2007
Last updated
07/30/2018
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