Individual
DR. RENEE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LCPC
Contact information
Practice address
415 E 33RD ST, BALTIMORE, MD 21218-3403
(443) 677-9072
Mailing address
PO BOX 3627, ANNAPOLIS, MD 21403-0627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1577
MD
103TC0700X
Clinical Psychologist
Primary
05522
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402485100
—
MD
Enumeration date
05/01/2007
Last updated
08/05/2016
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