Individual
EVA KEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 614-4030
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
06439
MD
103TR0400X
Rehabilitation Psychologist
Primary
06439
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06439
LICENSE
MD
Enumeration date
08/19/2019
Last updated
08/29/2024
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