Individual
SRAVYA VAJRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-5087
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-5087
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07140
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2022
Last updated
06/25/2024
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