Individual
DR. DUANE MICHAEL ISAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, NCSP
Contact information
Practice address
8229 CLOVERLEAF DR, SUITE 425, MILLERSVILLE, MD 21108-1538
(541) 554-9777
Mailing address
8229 CLOVERLEAF DR, SUITE 425, MILLERSVILLE, MD 21108-1538
(541) 554-9777
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
06544
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5737
—
MD
Enumeration date
04/08/2008
Last updated
11/18/2020
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