Individual
JILL HAAK BOHNENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
701 W PRATT ST, BALTIMORE, MD 21201-1023
(410) 328-1111
Mailing address
737 W LOMBARD ST, ROOM 422, BALTIMORE, MD 21201-1009
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
05510
MD
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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