Integrative Therapy Center Of Maryland, Llc

Psychologist · Baltimore, MD

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At a glance

1501 Sulgrave Ave Ste 205, Baltimore, MD 21209-3650

NPPES record updated Feb 5, 2019. Public records can lag behind changes at a practice.

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Practice location

1501 Sulgrave Ave Ste 205
Baltimore, MD 21209-3650
Professional details: NPI, taxonomy & registry record
NPI1245795103
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Registry details

Primary taxonomy
Psychologist
Taxonomy code
103T00000X
Enumeration date
Feb 5, 2019
Record updated
Feb 5, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101Y00000X

Psychologist

103T00000X · Primary

Specialty details in registry

104100000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1501 Sulgrave Ave Ste 205
Baltimore, MD 21209-3650
Phone
(414) 213-9636
Mailing address
2810 HANSON AVE

BALTIMORE, MD 212093912
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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