South River Psychiatry is a Psychiatry Clinic in Glen Burnie, Maryland. It is located at 1600 Crain Hwy S Ste 608, Glen Burnie, MD and its contact number is 410-205-9205. The authorized person for South River Psychiatry is Dr. Donna Lorraine Ticknor
who is Owner/physician of the clinic and his/her contact number is 410-205-9205. South River Psychiatry Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
South River Psychiatry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
South River Psychiatry
Specialization:
Psychiatry
Clinic Address:
1600 Crain Hwy S Ste 608, Glen Burnie, Maryland, 21061-6442
Phone:
410-205-9205
Fax:
619-268-5973
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Donna Lorraine Ticknor
Position:
Owner/physician
Contact Number:
410-205-9205
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for South River Psychiatry clinic are as mentioned below.
NPI Number:
1275382871
NPI Enumeration Date:
15 May, 2024
NPI Last Update On:
15 May, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South River Psychiatry are as mentioned below.
Specialization
License Number
State
Status
Psychiatry
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1720131295
Other
Individual Npi
D0086372
Other
Maryland
State Medical License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
South River Psychiatry 408 Kathe Ct, Riva, Maryland
Zip:
21140-1312
Phone Number:
410-205-9205
Fax Number:
619-268-5973
Patients can reach South River Psychiatry at 1600 Crain Hwy S Ste 608, Glen Burnie, Maryland or can call to book an appointment on 410-205-9205. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.