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Contact Information

GREEN RIDGE BEHAVIORAL HEALTH, LLC
5216 CHAIRMANS COURT
SUITE 102
FREDERICK, MD21703
 Phone: 240-683-6202
 Fax: 240-683-6203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for GREEN RIDGE BEHAVIORAL HEALTH LLC · (Female)

NPI Number 1609283050
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2014
Last updated 07/17/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # D0056459
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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