Individual
CHARLES S GULOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-1886
Mailing address
2931 E BIDDLE ST, BALTIMORE, MD 21213-3939
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03980
MD
Other
Enumeration date
03/29/2007
Last updated
05/25/2011
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