MEDICARE: CHRISTOPHER JONATHAN SEITZ-BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1205316783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JONATHAN SEITZ-BROWN

Provider Business Mailing Address
First Line	:	10 N CALVERT ST STE G101 PMB 1038
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 N CALVERT ST STE G101 PMB 1038
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202
Country	:	US
Telephone Number	:	717-817-3049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	12/01/2024

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