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General NPI Number Information
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NPI Number | 1154801918
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Entity Type | Organization
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Legal Business Name | PSYCHMED SERVICES, LLC
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 1420 KEY HWY
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City | BALTIMORE
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State | MD
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Zip | 21230-5546
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Country | US
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Telephone | 410-230-7828
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Fax | 410-230-7806
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Provider Business Mailing Address
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Address Line | 1420 KEY HWY
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City | BALTIMORE
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State | MD
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Zip | 21230-5546
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Country | US
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Telephone | 410-230-7828
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Fax | 410-230-7806
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN SOBELMAN
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Credential | PH.D.
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Telephone | 410-230-7828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364SP0810X
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Taxonomy Name | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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