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Contact Information

CROSSROADS PSYCHOLOGICAL ASSOCIATES LLC
10784 HICKORY RIDGE RD
COLUMBIA, MD21044-3646
 Phone: 410-964-0425
 Fax: 410-964-0515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CROSSROADS PSYCHOLOGICAL ASSOCIATES LLC

NPI Number 1285814079
LBN Legal business name CROSSROADS PSYCHOLOGICAL ASSOCIATES LLC
Authorized official SUSAN STACY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2007
Last updated 03/03/2010 - About 16 years ago
Identifiers n/a
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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