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Organization

INDIVIDUALIZED PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YAAKOV SHUGARMAN PSY.D. (OWNER)
(410) 999-8060
Entity
Organization

Contact information

Practice address
5603 NEWBURY ST, BALTIMORE, MD 21209-3603
(410) 999-8060
(410) 787-5454
Mailing address
5603 NEWBURY ST, BALTIMORE, MD 21209-3603
(410) 999-8060
(410) 787-5454

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
10/04/2018
Last updated
07/16/2020
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