Individual
BRENDA E FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE, BALTIMORE, MD 21205-1832
(443) 923-9200
(443) 923-9405
Mailing address
2931 E BIDDLE ST, PATIENT ACCOUNTING, BALTIMORE, MD 21213-3939
(443) 923-1886
(443) 923-1895
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
1673
DC
103TC2200X
Clinical Child & Adolescent Psychologist
2033
VA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2940
MD
103TC2200X
Clinical Child & Adolescent Psychologist
3182
MA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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