Healthcare Provider Details
I. General information
NPI: 1073238358
Provider Name (Legal Business Name): REPRODUCTIVE PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2022
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
363 N COLONIAL AVE
WESTMINSTER MD
21157-5516
US
IV. Provider business mailing address
363 N COLONIAL AVE
WESTMINSTER MD
21157-5516
US
V. Phone/Fax
- Phone: 646-397-7210
- Fax: 443-457-2341
- Phone: 646-397-7210
- Fax: 443-457-2341
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE
BROWNLEY
Title or Position: CEO
Credential: MD, PHD
Phone: 443-690-3134