Individual
LISETTE MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-9200
Mailing address
1741 ASHLAND AVE STE 642, BALTIMORE, MD 21205-1531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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