Organization
TRELLIS SERVCIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE STIPA (DIRECTOR OF ADMINISTRATIVE SERVICES)
(410) 628-1076
Entity
Organization
Contact information
Practice address
150 LAKE FRONT DR, COCKEYSVILLE, MD 21030-2215
(410) 628-1076
(410) 628-0836
Mailing address
PO BOX 1332, COCKEYSVILLE, MD 21030-6332
(410) 628-1076
(410) 628-0836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03508
MD
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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