Organization

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)

Code

2084P0800X

Primary Taxonomy

Yes

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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