Individual
MEL ENGLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8882
Mailing address
2930 HUNTINGDON AVE, BALTIMORE, MD 21211-2822
(413) 687-2550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019790
PA
103TC0700X
Clinical Psychologist
06856
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2020
Last updated
02/07/2023
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