Phoenix Support Services, LLC

NPI #1023368412 in Towson, Maryland

Provider Information

NPI Number: 1023368412
Entity Type: Organization
Organization Name: Phoenix Support Services, LLC
Primary Specialty: Specialist
Enumeration Date: Sep 13, 2012
Last Updated: Sep 13, 2012

Practice Location

Address: 6701 N CHARLES ST
Address 2: STE 4104
City: Towson
State: Maryland
ZIP Code: 21204-6808
Phone: (410) 714-0077

Authorized Official

Name: DR. JAMES ROBERT BARRY, PH.D.
Title: OWNER/PSYCHOLOGIST
Phone: (410) 714-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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