Individual
DR. VIRGINIA TAI RUNKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6535 N CHARLES ST, SUITE 550, TOWSON, MD 21204-5826
(410) 494-1662
Mailing address
6535 N CHARLES ST, SUITE 550, TOWSON, MD 21204-5826
(410) 494-1662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05054
MD
Other
Enumeration date
03/23/2011
Last updated
09/11/2013
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