Organization
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN REIDY (OFFICE ADMINISTRATOR)
(845) 590-3230
Entity
Organization
Contact information
Practice address
7474 GREENWAY CENTER DR STE 700A, GREENBELT, MD 20770-3523
(301) 982-3437
Mailing address
2705 SILVER HAMMER WAY, BROOKEVILLE, MD 20833-3244
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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