Individual
LAVON ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
405 N PACA ST, BALTIMORE, MD 21201-1815
(443) 676-1638
Mailing address
7704 PATUXENT OAK CT, ELKRIDGE, MD 21075-6172
(443) 676-1638
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3897
MD
Other
Enumeration date
08/22/2006
Last updated
04/11/2023
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