Organization · Type 2 NPI

University of Maryland Pediatric Assoc PA

Psychologist · Baltimore, MD

NPI number 1073432878 Active

Practice location

1104 Kenilworth Dr
Baltimore, MD 21204-2101

Fax (410) 296-3210

Mailing address

PO Box 62063
Baltimore, MD 21264-2063

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed
Pediatrics Physician 208000000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1073432878

University of Maryland Pediatric Assoc PA's National Provider Identifier is 1073432878, issued on Jul 14, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 15, 2026.