Individual
ELLSON FORTI PINANZU SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
310 HAMMOND ST STE 104, SALISBURY, MD 21804-4474
(443) 736-9169
Mailing address
310 HAMMOND ST STE 104, SALISBURY, MD 21804-4474
(443) 736-9169
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
RSA-01150
MD
Other
Enumeration date
01/11/2024
Last updated
01/18/2024
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