| NPI | 1588855662 |
|---|---|
| Doing Business As | CANTON PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | PATRICIA J LACKEY Psychologist President 410-499-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 03096) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |