Individual
LARA SPIEKERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-1870
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007986
VA
Other
Enumeration date
08/02/2023
Last updated
09/29/2023
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