Organization
MARY L. TAYLOR-ENNIS, PH.D & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L TAYLOR-ENNIS PH.D (PSYCHOLOGIST)
(443) 444-5798
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, POB SUITE 301-A, BALTIMORE, MD 21239-2905
(443) 444-5798
(443) 444-5693
Mailing address
5601 LOCH RAVEN BLVD, POB SUITE 301-A, BALTIMORE, MD 21239-2905
(443) 444-5798
(443) 444-5693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC2346
MD
101YP2500X
Professional Counselor
LC2912
MD
101YP2500X
Professional Counselor
LC2940
MD
103TC0700X
Clinical Psychologist
Primary
03567
MD
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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