| NPI | 1740321595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH M. KINNEY Licensed Psychologist 410-363-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 3359) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: MD 3359) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 3359) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MD 3359) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |