Dr. Michael S. Kidorf PH.D. - Clinical Psychologist in Baltimore, Maryland | ProviderWire

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Clinical Psychologist
Maryland
Baltimore
Dr. Michael S. Kidorf PH.D.

Full Name

Dr. Michael S Kidorf PH.D.

NPI Number

1053446856

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/22/2007

Specialties

(Taxonomies)

Name

Clinical Psychologist

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

02785

Contact
Information

Purpose

Mailing

Location

Address

2506 WILLOW GLEN DR

5510 NATHAN SHOCK DR

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21209-3136

21224-6823

Country

US

US

Telephone Number

(410) 602-6062

(410) 550-0006

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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