Individual
LISA GAIL DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ED.S
Contact information
Practice address
300 PONTIAC AVE, BALTIMORE, MD 21225-2042
(443) 836-6400
(301) 253-9417
Mailing address
1508 WILLIAM ST, BALTIMORE, MD 21230-4613
(540) 239-2490
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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