| NPI | 1144425992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAY READER Psychologist 410-484-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |