Individual
DR. CHRISTEN FANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
(443) 923-7570
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
(443) 923-7570
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/29/2017
Last updated
10/10/2022
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