Individual
DR. DANIELLE MARIE PLOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2931 E BIDDLE ST, BALTIMORE, MD 21213-3939
(443) 923-1872
Mailing address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-1872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
05595
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
10/11/2007
Last updated
09/24/2015
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