Individual
VIRGINIA SAMFORD HORNBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W COLD SPRING LN, BALTIMORE, MD 21209-4904
(410) 591-3912
Mailing address
708 SAINT JOHNS RD, BALTIMORE, MD 21210-2134
(410) 433-7628
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04415
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04415
STATE OF MD, DEPT OF HEALTH
MD
Enumeration date
06/04/2019
Last updated
06/04/2019
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