1972145381 BALTIMORE KETAMINE CLINIC

Psychiatric/Mental Health Nurse Practitioner

Active

Basic Information

Organization Name
BALTIMORE KETAMINE CLINIC
Enumeration Date
October 17, 2019
Last Update
May 15, 2025
Authorized Official
IVANA MITIC CRNA
GROUP OWNER
Phone: (713) 412-3462

Practice Location

Address
909 RIDGEBROOK RD STE 202
SPARKS GLENCOE, MD 211529476
Phone
(410) 870-5482
Fax
(410) 628-1212

Mailing Address

Address
1 TEXAS STATION CT STE 320
TIMONIUM, MD 210938290
Phone
(410) 870-5482
Fax
(410) 628-1212

Specialties & Taxonomies

Specialty Code Classification License State Primary
Infusion Therapy Clinic/Center
Infusion Therapy
261QI0500X Clinic/Center N/A N/A No
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health
363LP0808X Nurse Practitioner N/A N/A Primary

Frequently Asked Questions

What is BALTIMORE KETAMINE CLINIC's NPI number?
BALTIMORE KETAMINE CLINIC's NPI number is 1972145381.
Which doctor has NPI number 1972145381?
The doctor with NPI number 1972145381 is BALTIMORE KETAMINE CLINIC.
What is BALTIMORE KETAMINE CLINIC's practice address?
BALTIMORE KETAMINE CLINIC's practice address is 909 RIDGEBROOK RD STE 202, SPARKS GLENCOE, MD, 211529476.
Which doctor practices at 909 RIDGEBROOK RD STE 202, SPARKS GLENCOE, MD, 211529476?
BALTIMORE KETAMINE CLINIC practices at 909 RIDGEBROOK RD STE 202, SPARKS GLENCOE, MD, 211529476.
What is BALTIMORE KETAMINE CLINIC's mailing address?
BALTIMORE KETAMINE CLINIC's mailing address is 1 TEXAS STATION CT STE 320, TIMONIUM, MD, 210938290.
What is BALTIMORE KETAMINE CLINIC's phone number?
BALTIMORE KETAMINE CLINIC's phone number is (410) 870-5482.
Who is (410) 870-5482?
(410) 870-5482 is the phone number for BALTIMORE KETAMINE CLINIC.
What is BALTIMORE KETAMINE CLINIC's specialty?
BALTIMORE KETAMINE CLINIC's specialty is Psychiatric/Mental Health Nurse Practitioner.
What type of doctor is BALTIMORE KETAMINE CLINIC?
BALTIMORE KETAMINE CLINIC is a Psychiatric/Mental Health Nurse Practitioner.
Is BALTIMORE KETAMINE CLINIC a Psychiatric/Mental Health?
Yes, BALTIMORE KETAMINE CLINIC is a Psychiatric/Mental Health.
Is BALTIMORE KETAMINE CLINIC still practicing?
Yes, BALTIMORE KETAMINE CLINIC is currently practicing.
Is BALTIMORE KETAMINE CLINIC accepting new patients?
BALTIMORE KETAMINE CLINIC may be accepting new patients. Please call their office at (410) 870-5482 to inquire about availability.
Is NPI 1972145381 still active?
Yes, NPI 1972145381 is currently active.
Where does BALTIMORE KETAMINE CLINIC practice?
BALTIMORE KETAMINE CLINIC practices in SPARKS GLENCOE, MD.