| Organization Name: | PSYCHOTHERAPEUTIC SERVICES OF SOUTHERN MARYLAND, INC. |
| NPI Number: | 1346489887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDALL L COOPER (CFO) |
| Mailing Address: | 870 High St Ste 2 Chestertown |
| State: | MD US |
| Postal Code: | 216203914 |
| Phone Number: | 4107789114 |
| Fax Number: | 4107787988 |
| NPI Enumeration Date: | 02/06/2009 |
| NPI Last Update Date: | 02/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |