Organization
PSYCHFORWARD LLC
Active
Other names
PsychForward CBT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SCHETTINO PH.D. (PRESIDENT)
(410) 941-8172
Entity
Organization
Contact information
Practice address
1014 W 36TH ST STE 205, BALTIMORE, MD 21211-2415
(410) 941-8172
Mailing address
3726 HICKORY AVE, BALTIMORE, MD 21211-1809
(410) 941-8172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
10/12/2022
Last updated
08/16/2023
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