Individual
MICALA BROOKE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 BALTIMORE ANNAPOLIS BLVD STE 202, SEVERNA PARK, MD 21146-4716
(410) 684-3806
(410) 421-8042
Mailing address
1033 NABBS CREEK RD, GLEN BURNIE, MD 21060-8435
(410) 507-6114
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
A01042
MD
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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