Individual
DR. JO ELLYN PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2360 W JOPPA RD STE 216, LUTHERVILLE, MD 21093
(410) 271-4244
Mailing address
9871 WILDERNESS LN, LAUREL, MD 20723-5504
(410) 271-4244
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3937
MD
103TC0700X
Clinical Psychologist
Primary
3937
MD
103TC1900X
Counseling Psychologist
3937
MD
103TF0000X
Family Psychologist
3937
MD
Other
Enumeration date
02/13/2007
Last updated
07/01/2018
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