Michael S Kidorf is a Clinical in Baltimore, Maryland. Michael S Kidorf practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael S Kidorf is 1053446856. The last update date is 2007-07-08.
Michael S Kidorf's current location address is 2506 Willow Glen Dr, Baltimore, Maryland. You can contact this provider via phone number 4106026062. The mailing address for Michael S Kidorf is 2506 Willow Glen Dr, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael S Kidorf |
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Address | 2506 Willow Glen Dr, Baltimore, Maryland |
Phone Number | 4106026062 |
Fax Number | |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1053446856 |
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Provider Enumeration Date | 2007-02-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2506 Willow Glen Dr |
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City | Baltimore |
State | Maryland (MD) |
Post Code | 212093136 |
Phone Number | 4106026062 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 2785 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Michael S Kidorf by the Centers for Medicare & Medicaid Services?
The Michael S Kidorf has been assigned the NPI (National Provider Identifier) 1053446856. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael S Kidorf is located?
The Michael S Kidorf is situated at the following address: 2506 Willow Glen Dr, Baltimore, MD, 212093136.
What is Michael S Kidorf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael S Kidorf's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Michael S Kidorf receive its 1053446856 assignment from the Centers for Medicare & Medicaid Services?
The Michael S Kidorf was assigned its 1053446856 by the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the Michael S Kidorf's details last updated?
The information pertaining to the Michael S Kidorf, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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