Organization
THE LOYOLA CLINICAL CENTERS
Active
Other names
Loyola Clinical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JO COIRO PH.D. (DIRECTOR, BHAS)
(410) 617-1200
Entity
Organization
Contact information
Practice address
5911 YORK RD, SUITE 100, BALTIMORE, MD 21212-3048
(410) 617-1200
(410) 617-1203
Mailing address
5911 YORK RD, SUITE 100, BALTIMORE, MD 21212-3048
(410) 617-1200
(410) 617-1203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2865
MD
103T00000X
Psychologist
3251
MD
103T00000X
Psychologist
3352
MD
103T00000X
Psychologist
3543
MD
103T00000X
Psychologist
3580
MD
103T00000X
Psychologist
3823
MD
103T00000X
Psychologist
4025
MD
103T00000X
Psychologist
4348
MD
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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