Organization
PSYCHOTHERAPEUTIC SERVICES INC
Active
Other names
Cora's Place
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN OLIVER (TREASURER & CONTROLLER)
(410) 778-1099
Entity
Organization
Contact information
Practice address
2015 PEACHTREE RUN RD, DOVER, DE 19901
(302) 480-9340
(302) 480-9341
Mailing address
104 SPRING AVE UNIT 299, CHESTERTOWN, MD 21620-8512
(410) 778-1099
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000520561
—
DE
Enumeration date
07/13/2006
Last updated
11/13/2024
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