OrganizationActive
Psychotherapeutic Treatment Services
NPI 1376619643 · Group Psychotherapy Psychologist · Annapolis, MD
Provider details
- NPI number
- 1376619643
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Randall Cooper, Chief Financial Officer(410) 778-9114
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2021 Research Dr
Annapolis, MD 21401-3038
Phone: (410) 224-1188
Fax: (410) 224-3711
Approximate (ZIP-level) locationGet directions
Mailing address
820 High Street
Chestertown, MD 21620-3909
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.