Individual
DR. HEATHER ELIZABETH DARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(410) 955-4766
Mailing address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
07350
MD
103TC0700X
Clinical Psychologist
0810008719
VA
Other
Enumeration date
11/11/2024
Last updated
01/23/2025
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