| NPI | 1891190054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN BEASMAN Psychologist 410-529-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04581) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2023-06-17 |