MEMORIAL PSYCHOSOCIAL ASSOCIATES INC


Address: 744 Dulaney Valley Road, Suite 17, Towson, MD 21204
Phone: 4108252009

MEMORIAL PSYCHOSOCIAL ASSOCIATES INC (NPI# 1356539548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356539548
Entity Type Organization
Organization Name MEMORIAL PSYCHOSOCIAL ASSOCIATES INC
Other Organization Name MEMORIAL PSYCHOSOCIAL ASSOCIATES INC
Practice Address 744 Dulaney Valley Road
Suite 17
Towson
MD 21204
Practice Telephone 4108252009
Mailing Telephone 4108252009
Enumeration Date 2007-10-12
Last Update Date 2008-01-07
Authorized Official Name DR. DONALD WILLIAM STRAUSS (CEO)
Authorized Official Telephone 4108252009
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Memorial Psychosocial Associates Inc Other Name - Individual/Organization

Office Location

Street Address 744 DULANEY VALLEY ROAD
SUITE 17
City TOWSON
State MD
Zip Code 21204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285629378 Donald William Strauss Social Worker 744 Dulaney Valley Road, 744 Dulaney Valley Road # 17, Towson, MD 21204-5132 2005-09-14
1891868261 Sarah M Chisholm-stockard Psychologist 744 Dulaney Valley Road, Suite 8, Towson, MD 21204 2006-11-15

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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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City TOWSON
Zip Code 21204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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