Healthcare Provider Details

I. General information

NPI: 1174961700
Provider Name (Legal Business Name): THE ROBERT SYLVIA GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CHARLES ST SUITE 206
BALTIMORE MD
21201-5920
US

IV. Provider business mailing address

1800 N CHARLES ST SUITE 206
BALTIMORE MD
21201-5920
US

V. Phone/Fax

Practice location:
  • Phone: 443-388-9654
  • Fax: 443-388-9367
Mailing address:
  • Phone: 443-388-9654
  • Fax: 443-388-9367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALETTA MUZILA
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC
Phone: 443-388-9654