Individual
JUDITH M. KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
20 CROSSROADS DR STE 104, OWINGS MILLS, MD 21117-5480
(410) 371-5092
Mailing address
20 CROSSROADS DR STE 104, OWINGS MILLS, MD 21117-5480
(410) 371-5092
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
03359
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254810100
—
MD
Enumeration date
08/23/2006
Last updated
10/10/2017
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