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NPI Code Detail

MEDICARE: CHESAPEAKE NEUROLOGY AND BEHAVIORAL HEALTH, LLC

MEDICARE: CHESAPEAKE NEUROLOGY AND BEHAVIORAL HEALTH, LLC
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
1101YM0800XMental Health Counselor
2103T00000XPsychologist
32084N0400XNeurology Physician
4174400000XSpecialistD0042985MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275594640
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESAPEAKE NEUROLOGY AND BEHAVIORAL HEALTH, LLC
Provider Business Mailing Address
First Line : 8191 JENNIFER LN STE 200
Second Line :
City : OWINGS
State : MD
Zip : 20736-3197
Country : US
Telephone Number : 410-535-2500
Fax Number : 410-535-6030
Provider Business Practice Location Address
First Line : 8191 JENNIFER LN STE 200
Second Line :
City : OWINGS
State : MD
Zip : 20736-3197
Country : US
Telephone Number : 410-535-2500
Fax Number : 410-535-6030
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MR. JOSHUA R. BOND
Credential :
Telephone Number : 410-535-2500
Provider Enumeration Date : 03/28/2006
Last Update Date : 12/06/2022

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Directions to “CHESAPEAKE NEUROLOGY AND BEHAVIORAL HEALTH, LLC ” Practice Location

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