Individual
JEFFREY M LATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3333 N CALVERT ST, SUITE 670, BALTIMORE, MD 21218-2867
(410) 933-9000
(410) 933-9085
Mailing address
3333 N CALVERT ST, SUITE 670, BALTIMORE, MD 21218-2867
(410) 933-9000
(410) 933-9085
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
02963
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729071300
—
MD
Enumeration date
04/25/2006
Last updated
05/28/2009
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