Providence Mental Health
Psychiatry Physician in Timonium, MD(View on Map)
Legal Business Name
Providence Mental Health
NPI Number
1689133183
NPI Type
Organization
Enumeration Date
03/14/2019
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
527 CHATTERTON RD
2345 YORK RD STE 201
City
Timonium
Timonium
State
MD
MD
Postal Code
21093-1934
21093-2279
Country
US
US
Telephone Number
(571) 331-8617
(571) 331-8617
Authorized Official
Name
Dr. Abdolazim Shahsavar
Title or Position
PHYSICIAN AND THE PRACTICE OWNER
Telephone Number
(571) 331-8617
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/15/2019
Provider Address
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