| NPI | 1982350674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CHRISTINA SCUDJOREK Psychologist 410-575-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2026-01-27 |