Individual
DR. MALINDA RENEE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9412 FOX RUN DR, CLINTON, MD 20735-3049
(301) 275-6737
Mailing address
9412 FOX RUN DR, CLINTON, MD 20735-3049
(301) 275-6737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05186
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061225100
—
MD
Enumeration date
12/27/2012
Last updated
02/11/2020
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