Individual
DR. JAMES HOWARD WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
14300 GALLANT FOX LN, SUITE 211, BOWIE, MD 20715-4003
(301) 262-2828
(301) 262-2828
Mailing address
14300 GALLANT FOX LN, SUITE 211, BOWIE, MD 20715-4003
(301) 262-2828
(301) 262-2828
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00788
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344601800
—
MD
Enumeration date
10/18/2006
Last updated
07/08/2007
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