NPI: 1942056007 · BALTIMORE, MD 21234 · Clinical Child & Adolescent Psychologist · NPI assigned 04/29/2024
| Authorized Official | JACKSON, MARCELLA (CEO) |
| NPI Enumeration Date | 04/29/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 180 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99215 | Prolong outpt/office vis | 180 | 31 | $32K |