Individual
DR. THERESA ANNE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6501 NORTH CHARLES STREET, BALTIMORE, MD 21285
(410) 938-4933
Mailing address
6501 NORTH CHARLES STREET, MANN RESIDENTIAL PROGRAMS, BALTIMORE, MD 21285
(410) 938-4933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04543
MD
Other
Enumeration date
04/23/2007
Last updated
06/03/2009
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