| NPI | 1902822406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MICHELLE BECKETT Psychologist 410-484-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 2312) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-06-11 |