Individual
LOREN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5601 LOCH RAVEN BLVD, REHAB DEPARTMENT, BALTIMORE, MD 21239-2945
(443) 444-4034
Mailing address
501 LOCH RAVEN BLVD., BALTIMORE, MD 21239
(443) 444-4034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
B10000554
DE
103TR0400X
Rehabilitation Psychologist
05866
MD
Other
Enumeration date
01/26/2006
Last updated
01/26/2017
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