Organization
NEDA KAVEH LLC
Active
Other names
Cherry Blossom Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA NEDA KAVEH MD (OWNER)
(410) 428-4099
Entity
Organization
Contact information
Practice address
5052 DORSEY HALL DR STE 102, ELLICOTT CITY, MD 21042-7797
(410) 428-4099
Mailing address
8084 BALTIMORE NATIONAL PIKE, SUITE 3210 #275, ELLICOTT CITY, MD 21043
(410) 428-4099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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