Individual
PEGAH TOURADJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 N WOLFE ST, PHIPPS 174, BALTIMORE, MD 21287-0005
(410) 502-2438
Mailing address
PO BOX 64407, BALTIMORE, MD 21264-4407
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
04200
MD
103T00000X
Psychologist
04200
MD
103TC0700X
Clinical Psychologist
Primary
04200
MD
103TR0400X
Rehabilitation Psychologist
04200
MD
Other
Enumeration date
12/11/2006
Last updated
06/10/2019
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