Basic Information
| Provider Information | |||||||||
| NPI: | 1972783637 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEHNEMAN & GUSCHWAN, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4201 TUCKERMAN ST | ||||||||
| Address2: | |||||||||
| City: | UNIVERSITY PARK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207822144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019274378 | ||||||||
| FaxNumber: | 3019274340 | ||||||||
| Practice Location | |||||||||
| Address1: | 4201 TUCKERMAN ST | ||||||||
| Address2: | |||||||||
| City: | UNIVERSITY PARK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207822144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019274378 | ||||||||
| FaxNumber: | 3019274340 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2007 | ||||||||
| LastUpdateDate: | 11/11/2007 | ||||||||
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| AuthorizedOfficialLastName: | BEHNEMAN | ||||||||
| AuthorizedOfficialFirstName: | ANNE | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3019274378 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW-C | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 05345 | MD | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.