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Individual

DR. KRYSTIN WESSNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4785 DORSEY HALL DR, SUITE 109, ELLICOTT CITY, MD 21042-7728
(410) 531-5087
Mailing address
6311 KITELINE CT, COLUMBIA, MD 21044-3805
(509) 654-5710

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
05642
MD
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
05642
MD

Other

Enumeration date
09/24/2015
Last updated
02/23/2016
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