Individual
JENNIFER LANUZGA KALISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7007 BRADLEY BLVD, BETHESDA, MD 20817-2149
(301) 767-1733
Mailing address
7820B WORMANS MILL RD, BX 239, FREDERICK, MD 21701
(301) 450-1273
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06937
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06937
PSYCHOLOGIST LICENSE
MD
Enumeration date
07/21/2020
Last updated
04/27/2023
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