Individual
DR. ALEXIS NUSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10 N GREENE ST, 6C-128, BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7931
Mailing address
585 MAIN ST STE 143, LAUREL, MD 20707-4354
(301) 490-0778
(301) 498-4663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2606
MD
Other
Enumeration date
04/05/2006
Last updated
07/12/2007
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