Healthcare Provider Details

I. General information

NPI: 1548429640
Provider Name (Legal Business Name): ELSPETH NEIMAN BELL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 09/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 WATERLOO RD SUITE 140
COLUMBIA MD
21045-1941
US

IV. Provider business mailing address

5850 WATERLOO RD SUITE 140
COLUMBIA MD
21045-1941
US

V. Phone/Fax

Practice location:
  • Phone: 410-480-8052
  • Fax: 410-480-7081
Mailing address:
  • Phone: 410-480-8052
  • Fax: 410-480-7081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number04558
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04558
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: