Individual
DR. ELAINE MIDORI YAMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4511 CLIFTON RD, BALTIMORE, MD 21216-1646
(410) 664-2031
Mailing address
4511 CLIFTON RD, BALTIMORE, MD 21216-1646
(410) 664-2031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00985
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002571
VALUEOPTIONS
MD
05
—
146071400
—
MD
01
—
7913 0001
FEP
MD
01
—
G985EM
CAREFIRST BLUECROSS BLUES
MD
Enumeration date
01/09/2007
Last updated
01/05/2011
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