Individual
TYIES ALEXANDER GOINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
8840 BELAIR RD, BALTIMORE, MD 21236-2401
(443) 939-5346
Mailing address
8840 BELAIR RD, BALTIMORE, MD 21236-2401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2024074056
MD
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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