AMY S PROVAN

TOWSON, MD
NPI1821454893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MD  04508)
Enumeration Date2016-01-06
Last Update Date2016-01-06
Business Address
Dr. AMY S PROVAN Psy.D.
630 PICCADILLY RD
TOWSON, MD 21204-3803
Phone number: 443-846-6146
Mailing Address
Dr. AMY S PROVAN Psy.D.
630 PICCADILLY RD
TOWSON, MD 21204-3803
Phone number: 443-846-6146
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