Individual
DR. LAURA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
707 N. BROADWAY, BALTIMORE, MD 21205
(443) 923-9200
(443) 923-9405
Mailing address
1741 ASHLAND AVE., BALTIMORE, MD 21205
(443) 923-1870
(443) 923-1895
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04810
MD
Other
Enumeration date
07/30/2010
Last updated
04/11/2022
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