Provider Demographics
NPI:1629082334
Name:FIRTH, PATSY N (MD)
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:N
Last Name:FIRTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 TOWNE CENTER DR
Mailing Address - Street 2:STE 202
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-4451
Mailing Address - Country:US
Mailing Address - Phone:410-679-0012
Mailing Address - Fax:410-679-0303
Practice Address - Street 1:626 TOWNE CENTER DR
Practice Address - Street 2:SUITE 202
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-4446
Practice Address - Country:US
Practice Address - Phone:410-679-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD398362084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCU642 0001OtherCAREFIRST
MD97166301OtherCAREFIRST