| NPI | 1164841284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE C. C. LEPORE Licensed Psychologist/Authorized Me 443-912-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 4196) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |