Healthcare Provider Details
I. General information
NPI: 1891346771
Provider Name (Legal Business Name): PLOT POINTS CAREER COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2019
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21 WEST RD STE 150
TOWSON MD
21204-2317
US
IV. Provider business mailing address
21 WEST RD STE 150
TOWSON MD
21204-2317
US
V. Phone/Fax
- Phone: 410-390-0864
- Fax:
- Phone: 410-390-0864
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JILL
W
GARFINKLE
Title or Position: GENERAL MANAGER
Credential: PSYD, MA, CCC-SLP
Phone: 410-390-0864