Individual
HAVIVA LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 NORTHGATE DR, SALISBURY, MD 21801-7887
(317) 213-1834
Mailing address
2424 NORTHGATE DR, SALISBURY, MD 21801-7887
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1001807897
MD
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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