Provider Demographics
NPI:1609313014
Name:WAYPOINT BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:WAYPOINT BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:KETT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:410-573-1767
Mailing Address - Street 1:166 DEFENSE HWY
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8919
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1190 WINTERSON RD
Practice Address - Street 2:SUITE 160
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-2209
Practice Address - Country:US
Practice Address - Phone:410-684-3806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty