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Organization

THE EDUCATIONAL RESOURCE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NITHIN KRISHNA MD (MEDICAL DOCTOR)
(410) 544-6696
Entity
Organization

Contact information

Practice address
570 BENFIELD RD, SEVERNA PARK, MD 21146-2530
(410) 544-6696
Mailing address
570 BENFIELD RD, SEVERNA PARK, MD 21146-2530
(410) 544-6696

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
Primary
174H00000X
Health Educator
251300000X
Local Education Agency (LEA)

Other

Enumeration date
12/29/2023
Last updated
12/29/2023
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