PHOENIX SUPPORT SERVICES LLC NPI 1023368412

NPI Information

PHOENIX SUPPORT SERVICES, LLC is a specialist in Towson, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PHOENIX SUPPORT SERVICES, LLC NPI is 1023368412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6701 N CHARLES ST
STE 4104
TOWSON, MD
ZIP 21204-808
Phone: (410) 714-0077

The provider's authorized official is James Robert Barry .
The authorized official title is Owner/psychologist and has the following contact phone number (410) 714-0077.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.

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:

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