Individual
OPHIRA WEISKOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3705 W ROGERS AVE, BALTIMORE, MD 21215-4525
(410) 396-0567
Mailing address
6119 WESTERN RUN DR, BALTIMORE, MD 21209-3816
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04914
MD
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE
—
Enumeration date
06/04/2019
Last updated
12/09/2019
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