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
611 PARK AVE, SUITE 102, BALTIMORE, MD 21201-4572
(410) 777-8130
(410) 777-8134
Mailing address
611 PARK AVE, SUITE 102, BALTIMORE, MD 21201-4572
(410) 777-8130
(410) 777-8134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801152954
NPI INDIVIDUAL PROVIDER NUMBER
—
Enumeration date
04/03/2012
Last updated
06/17/2015
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