| 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 |