Individual
MS. MACKENZIE SUE SOMMERHALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 614-2401
(410) 955-8691
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10705
NE
103T00000X
Psychologist
Primary
06284
MD
Other
Enumeration date
08/23/2016
Last updated
05/25/2022
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