Organization
MARYLAND PARENT CHILD CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE SMUCKER PH.D. (FOUNDER/ PSYCHOLOGIST)
(410) 205-4928
Entity
Organization
Contact information
Practice address
12 GALLOWAY AVE STE 2C, COCKEYSVILLE, MD 21030-4901
(410) 205-4928
Mailing address
3 TALBOTT AVE STE 100, TIMONIUM, MD 21093-2329
(410) 205-4928
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
07/16/2024
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