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Organization

NELSON G. BENTLEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NELSON G BENTLEY PHD (OWNER)
(410) 337-9441
Entity
Organization

Contact information

Practice address
120 SISTER PIERRE DR, SUITE 107, TOWSON, MD 21204-7516
(410) 337-9441
(410) 339-7169
Mailing address
120 SISTER PIERRE DR, SUITE 107, TOWSON, MD 21204-7516
(410) 337-9441
(410) 339-7169

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01720
MD
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
D0000759
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G033
BCBS
MD
Enumeration date
10/31/2007
Last updated
06/19/2023
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