Organization
MARYLAND PSYCHOLOGICAL AND MANAGEMENT SERVICES CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURWOOD WHITTEN PHD (SOLE PROPRIETOR)
(443) 438-7863
Entity
Organization
Contact information
Practice address
10 W MADISON ST # 11, BALTIMORE, MD 21201-5239
(443) 438-7863
(443) 957-9485
Mailing address
10 W MADISON ST # 11, BALTIMORE, MD 21201-5239
(443) 438-7863
(443) 957-9485
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04983
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052304600
—
MD
Enumeration date
01/24/2013
Last updated
01/24/2013
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