Provider Demographics
NPI:1205081965
Name:HEALTH PSYCHOLOGY ASSOCIATES, LLC
Entity type:Organization
Organization Name:HEALTH PSYCHOLOGY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FORYS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-271-7876
Mailing Address - Street 1:49 ENGLISH RUN CIR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-8847
Mailing Address - Country:US
Mailing Address - Phone:410-271-7876
Mailing Address - Fax:
Practice Address - Street 1:12 GALLOWAY AVE
Practice Address - Street 2:SUITE 2F
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-4931
Practice Address - Country:US
Practice Address - Phone:410-271-7876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04289261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health