Individual
DR. JONATHAN FLEISCHACKER MATTANAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6525 N CHARLES ST, GIBSON BUILDING, WEST WING, SUITE 244, TOWSON, MD 21204-6872
(410) 938-8457
(410) 825-7105
Mailing address
6525 N CHARLES ST, GIBSON BUILDING, WEST WING, SUITE 244, TOWSON, MD 21204-6872
(410) 938-8457
(410) 825-7105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3649
MD
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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