Individual provider · Type 1 NPI

Ifigenia Mougianis, PhD

Health Service Psychologist · Baltimore, MD

NPI number 1982139564 Active

Practice location

1750 E Fairmount Ave
Baltimore, MD 21231-1534

Fax (617) 665-3449

Mailing address

707 N Broadway
Baltimore, MD 21205-1832

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200X10950 (MA)
Group Psychotherapy Psychologist 103TP2701X10950 (MA)
Health Service Psychologist Primary 103TH0100X10950 (MA)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1982139564

Ifigenia Mougianis, PhD's National Provider Identifier is 1982139564, issued on Apr 20, 2017. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Baltimore, MD. The record was last updated on Dec 19, 2019.