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Emerald Health Center, Inc
Prescribing (Medical) Psychologist in Reisterstown, Maryland
NPI 1730143991

Emerald Health Center, Inc is a Prescribing (Medical) Psychologist based in Reisterstown, MD and is specialized in Prescribing (Medical). Emerald Health Center, Inc practices in Reisterstown, MD. The NPI Number for Emerald Health Center, Inc is 1730143991 and holds a License No. D0020136 (Maryland).

The current practice location address for Emerald Health Center, Inc is 217 Main St, Reisterstown, MD and can be reached out via phone at 410-833-0580 and via fax at 410-833-8604. You can also correspond with Emerald Health Center, Inc through the mailing address at 217 MAIN ST, REISTERSTOWN, MD - 21136-1213 (mailing address contact number: 410-833-0580).

Location: 217 Main St, Reisterstown, MD, 21136-1213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730143991
Provider Name
Emerald Health Center, Inc
Credential
Provider Entity Type
Organization
Address
217 Main St, Reisterstown, MD, 21136-1213
Phone Number
410-833-0580
Fax Number
410-833-8604
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
247L 01 MD MC GROUP NUMBER
KA78EM 01 MD CAREFIRST BC/BS
institution
Provider Business Practice Location Address Details
Address
217 Main St
City
Reisterstown
State
Maryland
Zip
21136-1213
Phone Number
410-833-0580
Fax Number
410-833-8604
person
Provider Business Mailing Address Details
Address
217 Main St
City
Reisterstown
State
Maryland
Zip
21136-1213
Phone Number
410-833-0580
Fax Number
410-833-8604
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
D0020136 (Maryland)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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