Organization
COASTAL PSYCHOLOGY AND EDUCATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA IGNELZI-FERRARO PHD (OWNER)
(410) 208-4784
Entity
Organization
Contact information
Practice address
33195 LIGHTHOUSE RD, UNIT 11, SELBYVILLE, DE 19975-4071
(410) 208-4784
(855) 201-7322
Mailing address
38924 BLUE INDIGO RD, SELBYVILLE, DE 19975-3795
(410) 208-4784
(855) 201-7322
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7552438
AETNA
MD
01
—
G800
BCBS NATIONAL
MD
01
—
KEF1
BCBS OF MD
MD
Enumeration date
08/05/2006
Last updated
10/10/2013
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