Individual
DR. LARAY IMANI PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. - PSYCHOLOGIST
Contact information
Practice address
331 GAMBRILLS RD STE 4B, GAMBRILLS, MD 21054-1141
(443) 569-8882
(410) 697-3623
Mailing address
331 GAMBRILLS RD STE 4B, GAMBRILLS, MD 21054-1141
(443) 569-8882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
05442
MD
103T00000X
Psychologist
PSY1001307
DC
103TC0700X
Clinical Psychologist
05442
MD
1041C0700X
Clinical Social Worker
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07944490
—
MD
Enumeration date
10/24/2006
Last updated
11/22/2021
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