| NPI | 1013466572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY CLENDANIEL Director/Psycholgist 443-906-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 05155) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |