Individual
GREGORY WIATROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CAS NCSP
Contact information
Practice address
1600 N PAYSON ST, BALTIMORE, MD 21217-1121
(410) 396-0776
Mailing address
1600 N PAYSON ST, BALTIMORE, MD 21217-1121
(410) 396-0776
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CER-65929B1S7P9
MD
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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