La Plata Pediatrics & Family Health, LLC

NPI #1891001996 in La Plata, Maryland

Provider Information

NPI Number: 1891001996
Entity Type: Organization
Organization Name: La Plata Pediatrics & Family Health, LLC
Primary Specialty: Clinic/Center - Health Service
Enumeration Date: Aug 26, 2010
Last Updated: Jul 21, 2023

Practice Location

Address: 103 CENTENNIAL ST
Address 2: SUITE B
City: La Plata
State: Maryland
ZIP Code: 20646-5984
Phone: (301) 643-8127

Authorized Official

Name: JAMIE REIDY, CRNP
Title: OWNER AND NURSE PRACTITIONER
Phone: (013) 934-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Clinic/Center - Health Service — Health Service	261QH0100X	Primary

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