Individual
DR. JOAN LEDVINA PARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13 GLENBROOK DR, PHOENIX, MD 21131-2007
(410) 666-0480
Mailing address
13 GLENBROOK DR, PHOENIX, MD 21131-2007
(410) 666-0480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01523
MD
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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