Individual
DR. MICHAEL S KIDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5510 NATHAN SHOCK DR, SUITE 1500, BALTIMORE, MD 21224-6823
(410) 550-0006
Mailing address
2506 WILLOW GLEN DR, BALTIMORE, MD 21209-3136
(410) 602-6062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02785
MD
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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