Organization
HARVEY L GEWANTER PHD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY GEWANTER PHD (OWNER)
(410) 764-8209
Entity
Organization
Contact information
Practice address
6918 RIDGE RD, BALTIMORE, MD 21237-3854
(410) 764-8209
Mailing address
6918 RIDGE RD, BALTIMORE, MD 21237-3854
(410) 764-8209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02663
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496300800
—
MD
Enumeration date
01/23/2007
Last updated
02/08/2012
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