Individual
MORGAN KAMERDZE BIFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-2632
Mailing address
511 BRANCH LINE RD APT 43, ODENTON, MD 21113-2179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06242
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2017
Last updated
01/17/2020
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