Provider Demographics
NPI:1154422731
Name:ANXIETY AND STRESS DISORDERS INSTITUTE OF MARYLAND
Entity type:Organization
Organization Name:ANXIETY AND STRESS DISORDERS INSTITUTE OF MARYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHEARER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-938-8452
Mailing Address - Street 1:6525 N CHARLES ST
Mailing Address - Street 2:STE 224
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6872
Mailing Address - Country:US
Mailing Address - Phone:410-938-8449
Mailing Address - Fax:410-825-7105
Practice Address - Street 1:6525 N CHARLES ST
Practice Address - Street 2:STE 224
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6872
Practice Address - Country:US
Practice Address - Phone:410-938-8449
Practice Address - Fax:410-825-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKP15Medicare ID - Type Unspecified