South River Psychiatric Services, LLC
South River Psychiatric Services, LLC is a Psychiatry Physician in Glen Burnie, Maryland. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1600 Crain Hwy S Ste 608Glen Burnie, MD 21061-6442
Phone: (410) 205-9205
Fax: (619) 268-5973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1275382871 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donna Ticknor — Owner/Physician · (410) 205-9205 |
| Other names | South River Psychiatry |
| NPI enumerated | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 15, 2024 |
| Mailing address | 408 Kathe Ct, Riva, MD 21140-1312 |
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