DR. ASTRA BRANTLEY


Address: 14821 Hanover Pike, Upperco, MD 21155-9736
Phone: 4104295777

DR. ASTRA BRANTLEY (NPI# 1114955648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114955648
Entity Type Individual
Full Name DR. ASTRA BRANTLEY
Credential PSYD
Practice Address 14821 Hanover Pike
Upperco
MD 21155-9736
Practice Telephone 4104295777
Practice Fax Number 4104295778
Mailing Telephone 4104295777
Mailing Fax Number 4104295778
Enumeration Date 2006-06-30
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0000X Psychologist
Specialization: Family
02035 MD Behavioral Health & Social Service Providers

Office Location

Street Address 14821 HANOVER PIKE
City UPPERCO
State MD
Zip Code 21155-9736

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1841663457 Safe Harbor Christian Counseling Psychologist 14450 Hanover Pike, Reisterstown, MD 21155 2015-11-04
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1841807807 Jalynn Danielle Haver Behavior Technician 23 Thomas Shilling Ct, Upperco, MD 21155-9334 2020-09-24
1366077489 Arthur William Plummer Behavior Technician 23 Thomas Shilling Ct, Upperco, MD 21155-9334 2020-03-09
1215574173 Katrice Sade Crowner Behavioral Analyst 23 Thomas Shilling Ct, Upperco, MD 21155-9334 2019-12-10
1093360117 Natalie Laine Stiles Behavior Technician 23 Thomas Shilling Ct, Upperco, MD 21155-9334 2019-08-06
1093368094 Jasmine Hall Behavior Technician 23 Thomas Shilling Ct, Upperco, MD 21155-9334 2019-07-18
1346726684 Nicole Branham Behavior Technician 23 Thomas Shilling Ct, Upperco, MD 21155-9334 2018-07-18
1548751472 Amanda R Tincknell Behavioral Analyst 23 Thomas Shilling Ct, Upperco, MD 21155-9334 2018-05-26
1174081343 Winston Frederick Harden Specialist/Technologist 16301 Dark Hollow Rd, Upperco, MD 21155-9358 2019-03-06
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Taxonomy Information

Taxonomy Code 103TF0000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Family

Taxonomy Definition

Definition to come...

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1164086906 Lee Ann Kingham Psychologist 4301 Roland Springs Drive, Baltimore, MD 21210 2019-04-26
1992720205 Jbmealy and Associates, LLC Psychologist 15817 Crabbs Branch Way, Rockville, MD 20855-6613 2006-07-13
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1629438122 Institute for Healing, LLC Psychologist 9419 Common Brook Rd Ste 208, Owings Mills, MD 21117 2016-02-26
1346662145 Institute for Child & Family Psychiatry Inc Psychologist 1306 Midwood Pl, Silver Spring, MD 20910-1645 2014-01-13
1295939924 Leigh A Leslie Psychologist 1109 Spring St, Suite 403, Silver Spring, MD 20910-4002 2007-06-14
1033113857 Christie Lynn Tanner-gorman Psychologist 170 Thomas Johnson Dr, Ste 200, Frederick, MD 21702-6200 2005-06-09
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Competitor

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City UPPERCO
Zip Code 21155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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