Individual
DR. SHELLEY ANN KOSISKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 COLLEGE PKWY STE H, ANNAPOLIS, MD 21409-4614
(410) 757-4988
Mailing address
1327 FARLEY CT S, ARNOLD, MD 21012-2817
(410) 626-7304
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02671
MD
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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