| NPI | 1396385530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TALBOT REID Psychologist 410-698-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |