Healthcare Provider Details

I. General information

NPI: 1780470096
Provider Name (Legal Business Name): SALLY ANN ALTLAND BJORNHOLM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 S ROLLING RD
HALETHORPE MD
21227-4230
US

IV. Provider business mailing address

1532 S ROLLING RD
HALETHORPE MD
21227-4230
US

V. Phone/Fax

Practice location:
  • Phone: 410-868-0166
  • Fax:
Mailing address:
  • Phone: 410-868-0166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18773
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: