Individual
MALENA ANDA NYGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 W LOMBARD ST, BALTIMORE, MD 21201-1009
(443) 506-6326
Mailing address
2780 S WALNUT STREET PIKE # B224, BLOOMINGTON, IN 47401-8970
(972) 322-9068
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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