Healthcare Provider Details

I. General information

NPI: 1114853439
Provider Name (Legal Business Name): SHMUEL EPSTEIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2636 N SALISBURY BLVD
SALISBURY MD
21801-2141
US

IV. Provider business mailing address

2636 N SALISBURY BLVD
SALISBURY MD
21801-2141
US

V. Phone/Fax

Practice location:
  • Phone: 443-422-5154
  • Fax: 443-422-5154
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: