NPI 1124202940
Hcpss Infant and Toddler Program
Practice location
- Address
- 8930 Stanford Blvd, Columbia, MD 21045-5805
- Phone
- (410) 313-6708
- Mailing address
- 8930 Stanford Blvd STE 201, Columbia, MD 21045-5805
Authorised official
- Name
- Carolyn Jean Dodge
- Title
- Medicaid Billing Analyst
- Phone
- (410) 313-6708
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1124202940
- Entity type
- Organization
- NPI issued
- 28 Dec 2007
- Record last updated
- 29 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.