Individual
DR. SCOTT THOMAS WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7102 MINSTREL WAY, SUITE 203, COLUMBIA, MD 21045-5243
(410) 381-4411
(410) 381-4711
Mailing address
7120 MINSTREL WAY, SUITE 203, COLUMBIA, MD 21045-5248
(410) 381-4411
(410) 381-4711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3123
MD
103TC0700X
Clinical Psychologist
Primary
3123
MD
103TC1900X
Counseling Psychologist
3123
MD
103TF0000X
Family Psychologist
3123
MD
103TP0814X
Psychoanalysis Psychologist
3123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-4892540
MARYLAND TAX I.D. #
MD
01
—
3123
MD PSYCHOLOGIST LICENSE #
MD
Enumeration date
08/29/2006
Last updated
05/23/2014
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