Individual
DANIEL SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 N CHARLES STREET, ATTENTION: MANAGED CARE CREDENTIALING, TOWSON, MD 21204-6819
(410) 938-5000
(443) 420-9454
Mailing address
6501 N CHARLES STREET, ATTENTION: MANAGED CARE CREDENTIALING, TOWSON, MD 21204-6819
(410) 938-5000
(443) 420-9454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06843
MD
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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