| NPI | 1326590647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN J MULLICAN Licensed Psychologist, Owner 443-847-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04066) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04066) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |