Mark W Crandall Mdpa in Owings Mills - Mental Health (including Community Mental Health Center)

Mark W Crandall Mdpa - NPI 1568618072

Mark W Crandall Mdpa is a Mental Health (including Community Mental Health Center) in Owings Mills, Maryland. Mark W Crandall Mdpa practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Mark W Crandall Mdpa is 1568618072. The last update date is 2008-08-15.

Mark W Crandall Mdpa's current location address is 11421 Reisterstown Rd, Owings Mills, Maryland. You can contact this provider via phone number 4103562884 and fax number 4108338174. The mailing address for Mark W Crandall Mdpa is 11421 Reisterstown Rd, Owings Mills, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mark W Crandall Mdpa
Address 11421 Reisterstown Rd, Owings Mills, Maryland
Phone Number 4103562884
Fax Number 4108338174
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Crandall W Mark
Credentials MD
Telephone Number 4103562884

NPI Number Detail

NPI Number 1568618072
Provider Enumeration Date 2008-08-15
Last Updated Date 2008-08-15

Provider Mailing Address Detail

Address 11421 Reisterstown Rd
City Owings Mills
State Maryland (MD)
Post Code 211171834
Phone Number 4103562884
Fax Number 4108338174

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

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FAQs about Mark W Crandall Mdpa

What is the unique provider identifier assigned to Mark W Crandall Mdpa?

The Mark W Crandall Mdpa has been issued the NPI (National Provider Identifier) 1568618072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Mark W Crandall Mdpa is physically located?

The Mark W Crandall Mdpa is physically situated at the following address: 11421 Reisterstown Rd, Owings Mills, MD, 211171834.

What is Mark W Crandall Mdpa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark W Crandall Mdpa's specialized field of practice is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0801X.

On what date did the Mark W Crandall Mdpa receive the assignment of its 1568618072 from the Centers for Medicare & Medicaid Services?

The Mark W Crandall Mdpa was issued its 1568618072 by the Centers for Medicare & Medicaid Services on 2008-08-15.

When was the Mark W Crandall Mdpa's information last updated?

The Mark W Crandall Mdpa's information was last updated on 2008-08-15.

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