Organization
SHEPPARD PRATT PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE B KATZ (VP BUSINESS DEVELOPMENT AND SUP OPS)
(410) 938-3150
Entity
Organization
Contact information
Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3150
(410) 938-3159
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3150
(410) 938-3159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102411600
—
MD
Enumeration date
11/24/2008
Last updated
01/16/2009
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