NPI | 1386786549 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C RHEAD President 410-997-5060 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
103TA0700X Psychologist, Adult Development & Aging | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy | |
103T00000X Psychologist (Licence: MD 651) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |