| NPI | 1407137961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN L. P. FIELDING President 410-868-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04442) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 04438) |
| 103TC0700X Psychologist, Clinical (Licence: MD 04442) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 04438) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 04438) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |