Lea, Robert

Lea, Robert is an sole proprietor health care provider with primary practice located at 1636 W Old Liberty Rd Suite 1, Eldersburg MD 21784-9335. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lea, Robert can be contacted via phone (410) 635-8400.

Contact Information

Primary practice address
1636 W Old Liberty Rd Suite 1 Eldersburg MD 21784-9335
Phone: (410) 635-8400
Fax: (410) 635-8444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 02076 Maryland

Profile Details

NPI number 1184666166
LBN Legal business name Lea, Robert
Credentials ED.D, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Sep 26th, 2023 - about 2 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 1184666166 NPPES
Maryland MEDICAID 024202100

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