Cynthia Dewaters Balog in Phoenix - Addiction (substance Use Disorder)
Cynthia Dewaters Balog - NPI 1730271792
Cynthia Dewaters Balog is a Addiction (substance Use Disorder) in Phoenix, Maryland. Cynthia Dewaters Balog practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Cynthia Dewaters Balog is 1730271792. The last update date is 2021-10-13.
Cynthia Dewaters Balog's current location address is 3314 Paper Mill Rd Ste 100, Phoenix, Maryland. You can contact this provider via phone number 4108024049 and fax number 8665616670. The mailing address for Cynthia Dewaters Balog is 3314 Paper Mill Rd Ste 100, Phoenix, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia Dewaters Balog |
|---|---|
| Address | 3314 Paper Mill Rd Ste 100, Phoenix, Maryland |
| Phone Number | 4108024049 |
| Fax Number | 8665616670 |
| Sole Proprietor | Y |
| Credentials | LCPC LCADC |
NPI Number Detail
| NPI Number | 1730271792 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
| Address | 3314 Paper Mill Rd Ste 100 |
|---|---|
| City | Phoenix |
| State | Maryland (MD) |
| Post Code | 211311446 |
| Phone Number | 4108024049 |
| Fax Number | 8665616670 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LCA362 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 461922374 | MD | CIGNA | |
| 676829 | MD | BEACON HEALTH OPTIONS | |
| RS830034 | CAREFIRST GHMSI | ||
| 699558600 | MD | -- | |
| 62464101 | CAREFIRST MD |
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What is the Cynthia Dewaters Balog's unique identification number?
The Cynthia Dewaters Balog has been assigned the NPI (National Provider Identifier) Number 1730271792 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Cynthia Dewaters Balog located?
The Cynthia Dewaters Balog is located at 3314 Paper Mill Rd Ste 100, Phoenix, MD 211311446.
What is Cynthia Dewaters Balog's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cynthia Dewaters Balog's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730271792 to Cynthia Dewaters Balog?
The Centers for Medicare & Medicaid Services assigned the 1730271792 to Cynthia Dewaters Balog on 2006-09-28.
When was the information regarding Cynthia Dewaters Balog most recently updated?
The details pertaining to the Cynthia Dewaters Balog, including its address, specialty, and other relevant information, were last refreshed on 2021-10-13.
NPI Number: 1902809924
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