Individual
DR. KENNETH W DIEHL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1001 CROMWELL BRIDGE RD, SUITE 308, BALTIMORE, MD 21286-3300
(410) 337-6760
(410) 337-6760
Mailing address
7518 KNOLLWOOD RD, BALTIMORE, MD 21286-7931
(410) 825-2281
(410) 825-0757
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01018
MD
Other
Enumeration date
07/19/2006
Last updated
03/19/2008
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