| NPI | 1265553879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P GAYLE O'CALLAGHAN President 410-757-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 1753) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |