| NPI | 1164661799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL PATRICK GIGGEY Director 410-336-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04688) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 04688) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2023-02-19 |