Individual
DR. PAUL EDWARD SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9881 BROKENLAND PARKWAY #105, COLUMBIA, MD 21046
(443) 917-3102
(240) 892-0168
Mailing address
6024 CHARLES EDWARD TER, COLUMBIA, MD 21045-5096
(240) 856-9170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04007
MD
Other
Enumeration date
06/09/2006
Last updated
01/19/2021
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