| NPI | 1811934045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE STIPA Director Of Administrative Services 410-628-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 03508) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |