University Of Maryland Pediatric Assoc PA
Psychologist in Baltimore, MD. Organization (NPI-2).
NPI number1073432878
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1073432878
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Maryland Pediatric Assoc PA
- Organization subpart
- No
- Enumeration date
- Jul 14, 2026
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 208000000X | Pediatrics | – | – |
Practice location
1104 Kenilworth DrBaltimore, MD 21204-2101
Phone 667-214-2200 · Fax 410-296-3210
Mailing address
Po Box 62063Baltimore, MD 21264-2063
Phone 410-706-5181 · Fax 410-706-5103
Authorized official
Margie I Burr
Director Of Revenue Management
4107065181
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