AUTUMN SKYE IVY

BALTIMORE, MD
NPI1659638666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: MD  D0101347)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A126865)
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: CA  A126865)
Enumeration Date2012-04-13
Last Update Date2024-08-15
Business Address
AUTUMN SKYE IVY
1800 ORLEANS STREET
BALTIMORE, MD 21264-4203
Phone number: 410-502-2037
Mailing Address
AUTUMN SKYE IVY
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220-2004
Phone number: 410-933-6423