Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK J HUDAK JR. PH.D. (DIRECTOR/OWNER)
(410) 576-9191
Entity
Organization
Contact information
Practice address
201 N CHARLES ST, 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Mailing address
201 N CHARLES ST, 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023002201
—
MD
Enumeration date
11/25/2009
Last updated
11/25/2009
Update your record
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