Individual
DR. MARK NATHANIEL NUSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9841 BROKEN LAND PKWY STE 116, COLUMBIA, MD 21046-3060
(301) 490-0778
(410) 672-4011
Mailing address
9841 BROKEN LAND PKWY STE 116, COLUMBIA, MD 21046-3060
(301) 490-0778
(410) 672-4011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2675
MD
Other
Enumeration date
07/18/2006
Last updated
07/06/2024
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