Individual
KAYAN WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6501 N CHARLES ST # D228, BALTIMORE, MD 21204-6819
(410) 938-3461
(410) 938-4361
Mailing address
6501 N CHARLES ST # D228, BALTIMORE, MD 21204-6819
(410) 938-3461
(410) 938-4361
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06388
MD
103TC0700X
Clinical Psychologist
2014031994
MO
Other
Enumeration date
09/25/2014
Last updated
06/16/2020
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