Main Street Mobile Treatment Associates INC

NPI #1134139637 in Reisterstown, Maryland

Provider Information

NPI Number: 1134139637
Entity Type: Organization
Organization Name: Main Street Mobile Treatment Associates INC
Primary Specialty: Psychologist
Enumeration Date: Aug 8, 2006
Last Updated: Feb 28, 2019

Practice Location

Address: 37 MAIN ST
City: Reisterstown
State: Maryland
ZIP Code: 21136-1236
Phone: (410) 526-7882

Authorized Official

Name: DR. NICOLE J RYAN, PSYD
Title: OFFICE COORDINATOR
Phone: (410) 526-7882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X	Primary

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