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Contact Information

BK BEHAVIORAL HEALTH CENTER
14300 CHERRY LANE CT # 202-203
LAUREL, MD20707-4958
 Phone: 240-360-2637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BK BEHAVIORAL HEALTH CENTER · (Female)

NPI # 1972094167
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2018
Last updated 05/23/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 267002000
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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