Organization
CHILDREN'S MEDICAL CENTER INC
Active
Other names
Ikwunga Wonodi, M.D., & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
IKWUNGA WONODI M.D. (AUTHORIZED OFFICIAL/OWNER)
(410) 234-2727
Entity
Organization
Contact information
Practice address
1800 N CHARLES ST, SUITE 208, BALTIMORE, MD 21201-5920
(410) 234-2727
(410) 234-2777
Mailing address
1800 N CHARLES ST, SUITE 208, BALTIMORE, MD 21201-5920
(410) 234-2727
(410) 234-2777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828301000
—
MD
Enumeration date
01/05/2012
Last updated
12/18/2013
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