Organization
CONSULTATION AND CRISIS INTERVENTION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SMITH PSYD (MEDICAL DIRECTOR)
(410) 296-1880
Entity
Organization
Contact information
Practice address
1107 KENILWORTH DR STE 210, BALTIMORE, MD 21204-2136
(410) 296-1880
(410) 494-0368
Mailing address
1107 KENILWORTH DR STE 210, BALTIMORE, MD 21204-2136
(410) 296-1880
(410) 494-0368
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
04668
MD
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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