Individual
DR. THERESA SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
711 W 40TH ST, SUITE 428, BALTIMORE, MD 21211-2120
(410) 979-2326
(410) 979-2326
Mailing address
711 W 40TH ST, SUITE 428, BALTIMORE, MD 21211-2120
(410) 979-2326
(410) 979-2326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3114
MD
Other
Enumeration date
05/16/2007
Last updated
02/23/2015
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