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Contact Information

BROOK LANE HEALTH SERVICES
13218 BROOKLANE DR
HAGERSTOWN, MD21742
 Phone: 301-733-0330
 Fax: 301-733-4038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BROOK LANE HEALTH SERVICES · (Female)

NPI # 1487862181
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2007
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 986965400
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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