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Individual

DR. JANET SLATER BRANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
818 HIGH ST, CHESTERTOWN, MD 21620
(410) 778-5550
Mailing address
818 HIGH ST, CHESTERTOWN, MD 21620
(410) 778-5550

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
01371
MD
103T00000X
Psychologist
Primary
1371
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001326
VALUE OPTIONS
MD
01
13631
JOHNS HOPKINS
MD
01
285935
MAMSI
MD
01
411270-04
BLUE CROSS BLUE SHIELD MD
MD
05
5659021700
MD
01
61-71014
UBH PROVIDER NO
MD
01
PVPB1199
APS PROVIDER NO
MD
01
T4180003
BCBS GHMSI
MD
Enumeration date
03/08/2007
Last updated
02/11/2010
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