New Genesis Consulting Services

NPI #1457773160 in Millersville, Maryland

Provider Information

NPI Number: 1457773160
Entity Type: Organization
Organization Name: New Genesis Consulting Services
Primary Specialty: Psychologist
Enumeration Date: Jan 15, 2014
Last Updated: Apr 27, 2016

Practice Location

Address: 8227 CLOVERLEAF DR STE 303
Address 2: SUITE G
City: Millersville
State: Maryland
ZIP Code: 21108-1536
Phone: (410) 987-1036

Authorized Official

Name: DR. SYRETTA R. JAMES, PH.D.
Title: OWNER OPERATOR/CLINICAL DIRECTOR
Phone: (410) 987-1036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Psychologist	103T00000X	Primary

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