SHOCK TRAUMA ASSOCIATES P.A. NPI 1427720481

NPI Information

NPI: 1427720481
Provider Name: SHOCK TRAUMA ASSOCIATES, P.A.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-6704
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SHOCK TRAUMA ASSOCIATES, P.A. is a mental health counselor in Baltimore, MD. SHOCK TRAUMA ASSOCIATES, P.A. NPI is 1427720481. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22 S GREENE ST
BALTIMORE, MD
ZIP 21201-544
Phone: (410) 328-6704

The provider's authorized official is Kimberly Collic .
The authorized official title is Director Of Reimbursement Operation and has the following contact phone number (667) 214-1334.

The enumeration date for this NPI number is 9/29/2021 and was last updated on 10/4/2021.

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	101YM0800X	Counselor	Mental Health			Yes

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: 4/28/2024

NPI Synchronization or Removal

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