Psychotherapeutic Services of Southern Maryland

NPI #1003988627 in Waldorf, Maryland

Provider Information

NPI Number
1003988627
Entity Type
Organization
Organization Name
Psychotherapeutic Services of Southern Maryland
Primary Specialty
Psychologist - Group Psychotherapy
Enumeration Date
Nov 15, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
105 PAUL MELLON CT
Address 2
SUITE 19, 20
ZIP Code
20602-2762
Phone
(301) 638-7787

Authorized Official

Name
RANDALL COOPER, CPA
Title
CHIEF FINANCIAL OFFICER
Phone
(410) 778-9114

Specialties & Taxonomy Codes

Specialty
Psychologist - Group PsychotherapyGroup Psychotherapy

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