Black, Maureen M

Black, Maureen M is an individual health care provider with primary practice located at 120 Penn St , Baltimore MD 21201-1082. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Black, Maureen M can be contacted via phone (410) 328-8336.

Contact Information

Primary practice address
120 Penn St Baltimore MD 21201-1082
Phone: (410) 328-8336
Fax: (410) 328-4379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1367 Maryland

Profile Details

NPI number 1932141074
LBN Legal business name Black, Maureen M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932141074 NPPES
Maryland MEDICAID 737510700

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