Individual
DAVID J RAZNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1380 PROGRESS WAY, SUITE 101, ELDERSBURG, MD 21784
(410) 549-5181
(410) 549-5182
Mailing address
1380 PROGRESS WAY, 101, ELDERSBURG, MD 21784
(410) 549-5181
(410) 549-5182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1467
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649141300
—
MD
Enumeration date
08/09/2006
Last updated
09/23/2011
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