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General NPI Number Information
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NPI Number | 1740100783
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Entity Type | Organization
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Legal Business Name | MARYLAND BEHAVIORAL MEDICINE
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 9841 WASHINGTONIAN BLVD
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5389
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Country | US
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Telephone | 888-281-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 3159 CARPENTERS PARK RD
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City | DAVIDSVILLE
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State | PA
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Zip | 15928-9223
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Country | US
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Telephone | 888-281-7969
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PATRICIA GRIESHEIMER
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Credential |
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Telephone | 814-243-0414
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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 | 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 #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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