George L Raine PH.D.

NPI 1093753402 - Psychologist - 103TB0200X

NPI Details
NPI 1093753402
Gender Male
Enumeration Date 06/04/2006
Last Updated 04/13/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
260 GATEWAY DRIVE
SUITE 15B
BEL AIR MD, 21014-4268, US
Phone (410) 838-4840
Fax (410) 392-0292
Business Location
159 GINA CT
ELKTON MD, 21921-2354, US
Phone (410) 398-5991
Fax (410) 392-0292
Toxanomy
Taxonomy Code 103TB0200X
License State Maryland
License Number 01150
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According to our database, Dr. George L Raine PH.D. NPI is 1093753402, taxonomy code is 103TB0200X and license number is 01150, license state is located at Maryland. George L Raine PH.D. physically located at 260 Gateway Drive, Bel Air MD, 21014-4268. NPI Number George L Raine PH.D. has the Individual type.

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1093753402 NPI number is provided on an as is basis without warranty of any kind. 1093753402 is maintained by the National Plan & Provider Enumeration System. The contents of George L Raine PH.D. are for informational purposes only.