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Organization

UNIVERSITY PSYCHOLOGICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLARK J HUDAK PH.D. (PRESEIDENT/OWNER)
(410) 576-9191
Entity
Organization

Contact information

Practice address
201 N CHARLES ST, SUITE 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Mailing address
6201 GREENBELT RD, SUITE U-18, BERWYN HEIGHTS, MD 20740-2354
(410) 576-9191
(410) 576-9257

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-1587
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
422057800
MD
Enumeration date
10/18/2016
Last updated
10/18/2016
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