Individual
DR. KEVIN ELI FAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1803 SPARKS DR, FOREST HILL, MD 21050-2645
(410) 879-1872
Mailing address
1803 SPARKS DR, FOREST HILL, MD 21050-2645
(410) 879-1872
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3743
MD
103T00000X
Psychologist
PS005773L
PA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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