LEONARD R DEROGATIS

BALTIMORE, MD
NPI1588609333
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MD  00463)
Enumeration Date2006-06-17
Last Update Date2007-07-08
Business Address
-- LEONARD R DEROGATIS Ph.D.
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-5104
Mailing Address
-- LEONARD R DEROGATIS Ph.D.
PO BOX 64260
BALTIMORE, MD 21264-4260
Phone number: