Individual
LIISA VICTORIA HANTSOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N WOLFE STREET, SUITE 305, BALTIMORE, MD 21205
(410) 955-2295
(410) 502-3755
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06291
MD
103TC0700X
Clinical Psychologist
PS018018
PA
Other
Enumeration date
03/30/2016
Last updated
08/04/2022
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