| Organization Name: | CHESAPEAKE BAY PSYCHOLOGICAL SERVICES LLC |
| NPI Number: | 1003938846 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHERINE MARIE SMITHMYER (OWNER PSYCHOLOGIST) |
| Mailing Address: | 100 Helfen Bein Ln Suite 230 D Chester |
| State: | MD US |
| Postal Code: | 216192653 |
| Phone Number: | 4106040226 |
| Fax Number: | 8776430126 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 08/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 03850 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |