Organization
YULA PONTICAS, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YULA PONTICAS PH.D. (PRESIDENT)
(410) 828-8824
Entity
Organization
Contact information
Practice address
1104 KENILWORTH DR, SUITE 210, TOWSON, MD 21204-2101
(410) 828-8824
(410) 828-8823
Mailing address
1104 KENILWORTH DR, SUITE 210, TOWSON, MD 21204-2101
(410) 828-8824
(410) 828-8823
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
02426
MD
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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