Individual
DR. NICOLE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1750 E FAIRMOUNT AVE, BALTIMORE, MD 21231-1534
(443) 923-4500
Mailing address
1750 E FAIRMOUNT AVE FL 4, BALTIMORE, MD 21231-1534
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07343
MD
Other
Enumeration date
06/14/2022
Last updated
04/15/2025
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