Individual
JULIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3268
(410) 955-0504
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 955-3268
(410) 955-0504
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
07619
MD
Other
Enumeration date
11/29/2024
Last updated
11/23/2025
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