Individual
SANDRA LEE KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
1380 PROGRESS WAY, SUITE 101, ELDERSBURG, MD 21784
(410) 549-5181
(410) 549-5182
Mailing address
1380 PROGRESS WAY, #101, ELDERSBURG, MD 21784
(410) 549-5181
(410) 549-5182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03742
MD
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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