Individual
DR. DENISE MARIE MOREAULT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1501 SULGRAVE AVE, SUITE 208, BALTIMORE, MD 21209-3654
(410) 435-7700
(410) 435-5598
Mailing address
2712 WHITNEY AVE, BALTIMORE, MD 21215-4159
(410) 435-7700
(410) 435-5598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01399
MD
Other
Enumeration date
06/02/2006
Last updated
07/09/2007
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