Individual
AMY RABINOVE-LEISAWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8640 GUILFORD RD, SUITE 224, COLUMBIA, MD 21046-2655
(443) 472-1198
Mailing address
8640 GUILFORD ROAD, SUITE 224, COLUMBIA, MD 21046
(443) 472-1198
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04524
MD
Other
Enumeration date
12/17/2008
Last updated
10/29/2013
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