Michael S Kidorf PH.D.

NPI 1053446856 - Psychologist - 103TC0700X

NPI Details
NPI 1053446856
Gender Male
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5510 NATHAN SHOCK DR
SUITE 1500
BALTIMORE MD, 21224-6823, US
Phone (410) 550-0006
Fax
Business Location
2506 WILLOW GLEN DR
BALTIMORE MD, 21209-3136, US
Phone (410) 602-6062
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Maryland
License Number 02785
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According to our database, Dr. Michael S Kidorf PH.D. NPI is 1053446856, taxonomy code is 103TC0700X and license number is 02785, license state is located at Maryland. Michael S Kidorf PH.D. physically located at 5510 Nathan Shock Dr, Baltimore MD, 21224-6823. NPI Number Michael S Kidorf PH.D. has the Individual type.

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1053446856 NPI number is provided on an as is basis without warranty of any kind. 1053446856 is maintained by the National Plan & Provider Enumeration System. The contents of Michael S Kidorf PH.D. are for informational purposes only.