Ellicott City Pediatric Associates, PA
NPI #1861119117 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1861119117
- Entity Type
- Organization
- Organization Name
- Ellicott City Pediatric Associates, PA
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 26, 2022
- Last Updated
- Nov 8, 2022
Practice Location
- Address
- 9011 CHEVROLET DR STE 1-6
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-4024
- Phone
- (410) 465-7550
Authorized Official
- Name
- OLIVER CUSTODIO GALITA
- Title
- OWNER
- Phone
- (410) 465-7550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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