Individual
DR. MYRA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9658 BALTIMORE AVE, #240, COLLEGE PARK, MD 20740-1346
(443) 824-2815
Mailing address
PO BOX 43882, NOTTINGHAM, MD 21236-5564
(443) 824-2815
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
04010
MD
Other
Enumeration date
06/09/2015
Last updated
04/13/2017
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