Green Valley Psychological Associates, Llc in Lutherville - Clinical
Green Valley Psychological Associates, Llc - NPI 1215067715
Green Valley Psychological Associates, Llc is a Clinical in Lutherville, Maryland. Green Valley Psychological Associates, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Green Valley Psychological Associates, Llc is 1215067715. The last update date is 2020-08-22.
Green Valley Psychological Associates, Llc's current location address is 2360 W Joppa Rd, Lutherville, Maryland. You can contact this provider via phone number 4105838892 and fax number 4108235114. The mailing address for Green Valley Psychological Associates, Llc is 2360 W Joppa Rd, Lutherville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Valley Psychological Associates, Llc |
|---|---|
| Address | 2360 W Joppa Rd, Lutherville, Maryland |
| Phone Number | 4105838892 |
| Fax Number | 4108235114 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nolet W. Michael |
| Credentials | PH.D. |
| Telephone Number | 4105838892 |
NPI Number Detail
| NPI Number | 1215067715 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2360 W Joppa Rd |
|---|---|
| City | Lutherville |
| State | Maryland (MD) |
| Post Code | 210934624 |
| Phone Number | 4105838892 |
| Fax Number | 4108235114 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 721 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Green Valley Psychological Associates, Llc's unique identification number?
The Green Valley Psychological Associates, Llc has been assigned the NPI (National Provider Identifier) Number 1215067715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Green Valley Psychological Associates, Llc located?
The Green Valley Psychological Associates, Llc is located at 2360 W Joppa Rd, Lutherville, MD 210934624.
What is the area of specialization for Green Valley Psychological Associates, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Green Valley Psychological Associates, Llc is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Green Valley Psychological Associates, Llc's 1215067715 issued?
The Green Valley Psychological Associates, Llc's 1215067715 was issued on 2007-03-06.
As of what date were the details related to Green Valley Psychological Associates, Llc most recently updated or revised?
The information pertaining to Green Valley Psychological Associates, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.