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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

NPI # 1487862181
LBN Legal business name BROOK LANE HEALTH SERVICES
Authorized official JAMIE BARKDOLL - (COORDINATOR/MANAGED CARE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2007
Last updated 07/30/2018 - About 8 years ago
Identifiers
MD Medicaid 986965400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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