Organization
PSYCHOLOGY CONSULTANTS ASSOC
Active
Organization
PSYCHOLOGY CONSULTANTS ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE MACY (BILLING MGR)
(410) 998-3920
Entity
Organization
Contact information
Practice address
1205 YORK RD, LUTHERVILLE, MD 21093-6210
(410) 998-3920
(410) 998-3931
Mailing address
11421 CRONHILL DR, OWINGS MILLS, MD 21117-2222
(410) 998-3920
(410) 998-3931
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00457
MD
Other
Enumeration date
05/12/2007
Last updated
12/08/2011
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