Individual
DR. MARYELLEN ROUGAS HANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 809-0303
Mailing address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 809-0303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03787
MD
Other
Enumeration date
04/10/2017
Last updated
09/17/2020
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