Organization
PSYCHEXPERTS & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLI MORMILE PSY.D. (PRESIDENT)
(410) 777-8130
Entity
Organization
Contact information
Practice address
5707 CALVERTON ST, SUITE 1-D, BALTIMORE, MD 21228-4154
(410) 251-2100
(410) 777-8130
Mailing address
611 PARK AVE, SUITE 1-D, BALTIMORE, MD 21201-4572
(410) 777-8130
(410) 777-8130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243136
MEDICARE P-TAN
MD
05
—
4979001-00
—
MD
Enumeration date
06/17/2015
Last updated
06/17/2015
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