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NPI Code Detail

MEDICARE: ANNE SCULLY

MEDICARE: ANNE SCULLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLGP10138MD

General Provider Information

NPI Number : 1225630114
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE SCULLY
Provider Business Mailing Address
First Line : 10715 CHARTER DR STE 130
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2892
Country : US
Telephone Number : 443-653-1363
Fax Number :
Provider Business Practice Location Address
First Line : 10715 CHARTER DR STE 130
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2892
Country : US
Telephone Number : 443-653-1363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2020
Last Update Date : 11/15/2020

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Directions to “ ANNE SCULLY ” Practice Location

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