Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY MICHELLE LANDRIE
Active Sole ProprietorSTACEY MICHELLE LANDRIE is a Substance Abuse Rehabilitation Facility healthcare provider located in CAMBRIDGE, Maryland. NPI 1972081842 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · CAMBRIDGE, MD
Registration Details
- NPI Number
- 1972081842
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2018 (8.0643803840487 yrs)
- Last Updated
- Aug 2, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
828 AIRPAX RD STE 300CAMBRIDGE, MD, 216136401Browse MD providers · Browse ZIP 21613
- Phone
- 4109011333
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.