Individual
MARK DOUGLAS LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
901 DULANEY VALLEY RD, SUITE 129, TOWSON, MD 21204-2600
(888) 818-6595
(410) 832-5783
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03548
MD
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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