Organization
WOMEN'S INNERFITNESS & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARAY IMANI PRICE PHD (PSYCHOLOGIST)
(443) 569-8882
Entity
Organization
Contact information
Practice address
2110 PRIEST BRIDGE DR, SUITE 4, CROFTON, MD 21114-2472
(443) 569-8882
Mailing address
2110 PRIEST BRIDGE DR, SUITE 4, CROFTON, MD 21114-2472
(443) 569-8882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05442
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07944490
—
MD
Enumeration date
04/08/2015
Last updated
04/08/2015
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