institution
Sheppard Pratt Health System, Inc.
Adolescent and Children Mental Health Clinic/Center in Gaithersburg, Maryland
NPI 1629247051

Sheppard Pratt Health System, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Gaithersburg, 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 1629247051 and holds a License No. PENDING (Maryland).

The current practice location address for Sheppard Pratt Health System, Inc. is 610 E Diamond Ave Ste E, Gaithersburg, MD and can be reached out via phone at 301-330-4359 and via fax at 301-330-0533.

Location: 610 E Diamond Ave Ste E, Gaithersburg, MD, 20877-5332
institution
Provider Profile Details
NPI Number
1629247051
Provider Name
Sheppard Pratt Health System, Inc.
Credential
Provider Entity Type
Organization
Address
610 E Diamond Ave Ste E, Gaithersburg, MD, 20877-5332
Phone Number
301-330-4359
Fax Number
301-330-0533
Provider Enumeration Date
02/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
414128800 05 MD
NUMBER PENDING 01 MD ST BOARD OF EDUCATION
institution
Provider Business Practice Location Address Details
Address
610 E Diamond Ave Ste E
City
State
Zip
20877-5332
Phone Number
301-330-4359
Fax Number
301-330-0533
person
Provider Business Mailing Address Details
Address
610 E Diamond Ave Ste E
City
State
Zip
20877-5332
Phone Number
301-330-4359
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.
PENDING (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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