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Organization

GREEN VALLEY PSYCHOLOGICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL W. NOLET PH.D. (PRESIDENT)
(410) 583-8892
Entity
Organization

Contact information

Practice address
2360 W JOPPA RD, SUITE 219, LUTHERVILLE, MD 21093-4624
(410) 583-8892
(410) 823-5114
Mailing address
2360 W JOPPA RD, SUITE 219, LUTHERVILLE, MD 21093-4624
(410) 583-8892
(410) 823-5114

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3990
MD
103TC0700X
Clinical Psychologist
3990
MD
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
3990
MD
103TP2701X
Group Psychotherapy Psychologist
3990
MD
1041C0700X
Clinical Social Worker
Primary
721
MD

Other

Enumeration date
03/06/2007
Last updated
09/11/2025
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