Individual
ANDREW DOUGLAS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-8600
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
026424
MD
103TB0200X
Cognitive & Behavioral Psychologist
026424
MD
103TC0700X
Clinical Psychologist
Primary
026424
MD
103TC2200X
Clinical Child & Adolescent Psychologist
026424
MD
Other
Enumeration date
07/27/2020
Last updated
12/09/2024
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