Individual
TRACI A. SUTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.CAS
Contact information
Practice address
274 STANMORE RD, BALTIMORE, MD 21212-1136
(443) 695-5862
Mailing address
274 STANMORE RD, BALTIMORE, MD 21212-1136
(443) 695-5862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CER-108400-Y5C3W8
MD
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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