CPE CLINIC LLC NPI 1104274547

NPI Information

  • NPI: 1104274547
  • Provider Name: CPE CLINIC LLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 711 W 40TH ST
    428
    BALTIMORE, MD
    ZIP 21211
  • Phone: (410) 979-2326

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NPI Details

CPE CLINIC LLC is a child and adolescent psychiatry psychiatry neurology in Baltimore, MD. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. CPE CLINIC LLC NPI is 1104274547. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

711 W 40TH ST
428
BALTIMORE, MD
ZIP 21211-120
Phone: (410) 979-2326
Fax: (877) 979-2327

The provider's authorized official is Michael John Labellarte .
The authorized official title is Principle and has the following contact phone number (410) 979-2326.

The enumeration date for this NPI number is 5/26/2016 and was last updated on 5/26/2016.

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
11041C0700XSocial WorkerClinicalNo
2103T00000XPsychologistNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

What is NPI?

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This page was last updated on: 11/21/2025

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