CLEARY PSYCHOTHERAPY & CONSULTING LLC NPI 1083903942

NPI Information

NPI: 1083903942
Provider Name: CLEARY PSYCHOTHERAPY & CONSULTING, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
41620 COURTHOUSE DRIVE
SUITE 7
LEONARDTOWN, MD
ZIP 20650
Phone: (443) 968-4989
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CLEARY PSYCHOTHERAPY & CONSULTING, LLC is a professional counselor in Leonardtown, MD. CLEARY PSYCHOTHERAPY & CONSULTING, LLC NPI is 1083903942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

41620 COURTHOUSE DRIVE
SUITE 7
LEONARDTOWN, MD
ZIP 20650
Phone: (443) 968-4989
Fax: (301) 475-5738

The provider's authorized official is Sandra L Cleary .
The authorized official title is Director/psychotherapist and has the following contact phone number (443) 968-4989.

The enumeration date for this NPI number is 3/31/2011 and was last updated on 3/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LC3736	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	58956180	MEDICAID	MARYLAND
2	941L70	MEDICARE UPIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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