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NPI Code Detail

MEDICARE: CENTER FOR PROGRESSIVE LEARNING INC

MEDICARE: CENTER FOR PROGRESSIVE LEARNING INC
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
1101YP2500XProfessional CounselorMD
2103T00000XPsychologistMD
31041C0700XClinical Social WorkerMD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AT69-0000OTHERCAREFIRST BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1467874602
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR PROGRESSIVE LEARNING INC
Provider Business Mailing Address
First Line : 500 REDLAND CT
Second Line : SUITE 204
City : OWINGS MILLS
State : MD
Zip : 21117-3264
Country : US
Telephone Number : 410-581-7800
Fax Number : 410-581-0036
Provider Business Practice Location Address
First Line : 500 REDLAND CT
Second Line : SUITE 204
City : OWINGS MILLS
State : MD
Zip : 21117-3264
Country : US
Telephone Number : 410-581-7800
Fax Number : 410-581-0036
Authorized Official
Title or Position : COO
Name : MS. CINDY HENDERSON
Credential :
Telephone Number : 410-581-7800
Provider Enumeration Date : 01/07/2014
Last Update Date : 12/14/2016

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Directions to “CENTER FOR PROGRESSIVE LEARNING INC ” Practice Location

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