Individual
DR. LEO F FENZEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
28 ALLEGHENY AVE, SUITE 1208, TOWSON, MD 21204-3909
(410) 617-2640
(410) 617-5097
Mailing address
28 ALLEGHENY AVE, SUITE 1208, TOWSON, MD 21204-3909
(410) 617-2640
(410) 617-5097
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02810
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02810
PSYCHOLOGIST LICENSE
MD
Enumeration date
11/01/2006
Last updated
07/08/2007
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