Individual
SI SI HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ABPP
Contact information
Practice address
3300 N RIDGE RD STE 230, ELLICOTT CITY, MD 21043-3387
(410) 988-2192
(410) 988-2927
Mailing address
3300 N RIDGE RD STE 230, ELLICOTT CITY, MD 21043-3387
(410) 988-2192
(410) 988-2927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06921
MD
103TC0700X
Clinical Psychologist
0810006276
VA
Other
Enumeration date
08/09/2018
Last updated
12/31/2025
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