Individual provider · Type 1 NPI

Mary L. Taylor-Ennis, PhD

Psychologist · Baltimore, MD

NPI number 1073674586 Active

Practice location

5601 Loch Raven Blvd Ste 301-A
Baltimore, MD 21239-2905

Mailing address

6231 Fernway
Baltimore, MD 21212-2506

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X03567 (MD)

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 1073674586

Mary L. Taylor-Ennis, PhD's National Provider Identifier is 1073674586, issued on Dec 12, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Baltimore, MD. The record was last updated on Aug 3, 2026.