Individual
DR. MICHAEL BALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1132 ANNAPOLIS RD, SUITE 200, ODENTON, MD 21113-1647
(410) 874-1813
(410) 874-1818
Mailing address
2931 E BIDDLE ST, PATIENT ACCOUNTING, BALTIMORE, MD 21213-3939
(443) 923-1886
(443) 923-1895
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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