institution
Sheppard Pratt Health System, Inc.
Adolescent and Children Mental Health Clinic/Center in Gaithersburg, Maryland
NPI 1205980885

Sheppard Pratt Health System, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Baltimore, MD and is specialized in Adolescent and Children Mental Health. Sheppard Pratt Health System, Inc. practices in Gaithersburg, MD. The NPI Number for Sheppard Pratt Health System, Inc. is 1205980885 and holds a License No. 236 (Maryland).

The current practice location address for Sheppard Pratt Health System, Inc. is 610 E Diamond Ave, Gaithersburg, MD and can be reached out via phone at 301-208-0561 and via fax at 301-330-0533.

Location: 610 E Diamond Ave, Gaithersburg, MD, 21204-6819
institution
Provider Profile Details
NPI Number
1205980885
Provider Name
Sheppard Pratt Health System, Inc.
Credential
Provider Entity Type
Organization
Address
610 E Diamond Ave, Gaithersburg, MD, 21204-6819
Phone Number
301-208-0561
Fax Number
301-330-0533
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
236 01 MD STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
610 E Diamond Ave
City
State
Zip
20877-5321
Phone Number
301-208-0561
Fax Number
301-330-0533
person
Provider Business Mailing Address Details
Address
610 E Diamond Ave
City
State
Zip
20877-5321
Phone Number
301-208-0561
Fax Number
301-330-0533
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
236 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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