Individual
KELSEY BALL-FOMENGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 MAIDEN CHOICE LN STE 304, CATONSVILLE, MD 21228-5967
(443) 440-5516
Mailing address
724 MAIDEN CHOICE LN STE 304, CATONSVILLE, MD 21228-5967
(443) 440-5516
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1001458
DC
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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