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Individual

KATHLEEN R SPARROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
10808 HICKORY RIDGE RD, COLUMBIA, MD 21044-3622
(443) 878-8189
Mailing address
10808 HICKORY RIDGE RD, COLUMBIA, MD 21044-3622
(443) 878-8189

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3566
MD
103TB0200X
Cognitive & Behavioral Psychologist
3566
MD
103TC1900X
Counseling Psychologist
3566
MD
103TC2200X
Clinical Child & Adolescent Psychologist
3566
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3566
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
497 CKA
CARE 1ST / BC/BS
MD
Enumeration date
10/09/2007
Last updated
02/09/2017
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