MYSORE SHYAM
NPI 1851116495
Counselor - Professional in Hagerstown, MD
- Individual
- Male
- Counselor
- Professional
About MYSORE SHYAM
This page provides the complete NPI Profile along with additional information for Mysore Shyam, a provider established in Hagerstown, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1851116495 assigned on November 2024. The practitioner's primary taxonomy code is 101YP2500X with license number LGP15819 (MD). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1851116495 Verify this NPI
- Provider Name
- MYSORE SHYAM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 20 W WASHINGTON ST STE 503 HAGERSTOWN, MD 21740
- Location Phone
- (301) 604-1458
- Mailing Address
- 20 W WASHINGTON ST STE 503 HAGERSTOWN, MD 21740
- Mailing Phone
- (301) 393-3949
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-19-2024
- Last Update Date
- 11-19-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LGP15819
- License State
- MD
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
HAGERSTOWN, MD 21740
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851116495, enumerated as an "individual" on November 19, 2024.
The provider is located at 20 W WASHINGTON ST STE 503 HAGERSTOWN, MD 21740 and the phone number is (301) 604-1458.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
