MEDITELECARE OF MARYLAND LLC

BALTIMORE, MD
NPI1083297089
Entity TypeOrganization
Authorized ContactANDREA GODFREY
Credentialing & Enrollment Manager
860-788-6404
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
Additional Taxonomies103TC0700X Psychologist, Clinical
104100000X Social Worker
1041C0700X Social Worker, Clinical
2084N0400X Psychiatry & Neurology, Neurology
2084P0800X Psychiatry & Neurology, Psychiatry
363L00000X Nurse Practitioner
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2021-04-28
Last Update Date2024-09-04
Business Address
MEDITELECARE OF MARYLAND LLC
7 SAINT PAUL ST STE 820
BALTIMORE, MD 21202-1681
Phone number: 860-788-6404
Mailing Address
MEDITELECARE OF MARYLAND LLC
PO BOX 1595
MIDDLETOWN, CT 06457-8095
Phone number: 860-788-6404