Provider Demographics
NPI:1760764708
Name:EXAMASSURE, LLC
Entity Type:Organization
Organization Name:EXAMASSURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HALES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:800-254-3926
Mailing Address - Street 1:828 DULANEY VALLEY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2822
Mailing Address - Country:US
Mailing Address - Phone:800-254-3926
Mailing Address - Fax:
Practice Address - Street 1:828 DULANEY VALLEY RD STE 1
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2822
Practice Address - Country:US
Practice Address - Phone:800-254-3926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health