Individual
DR. CINDY TERLONGE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6100 DAYLONG LN STE 103, CLARKSVILLE, MD 21029-1631
(443) 672-8478
Mailing address
6100 DAYLONG LN STE 103, CLARKSVILLE, MD 21029-1631
(410) 531-8100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
05779
MD
103TC2200X
Clinical Child & Adolescent Psychologist
05779
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
05779
MD
Other
Enumeration date
07/06/2015
Last updated
10/31/2021
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