Integrative Therapy Center Of Maryland, Llc - Psychologist in Baltimore, Maryland | ProviderWire

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Psychologist
Maryland
Baltimore
Integrative Therapy Center Of Maryland, Llc

Legal Business Name

Integrative Therapy Center Of Maryland, Llc

NPI Number

1245795103

NPI Type

Organization

Enumeration Date

02/05/2019

Specialties

(Taxonomies)

Name

Code

103T00000X

101Y00000X

104100000X

Primary Taxonomy

Yes

No

No

Contact
Information

Purpose

Mailing

Location

Address

2810 HANSON AVE

1501 SULGRAVE AVE STE 205

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21209-3912

21209-3650

Country

US

US

Telephone Number

N/A

(414) 213-9636

Authorized Official

Name

Dr. Moshe Miller

Title or Position

OWNER

Telephone Number

(414) 213-9636

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

Data last updated by provider on 02/05/2019

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