Michael S Kidorf in Baltimore - Clinical

Michael S Kidorf - NPI 1053446856

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
Address 2506 Willow Glen Dr, Baltimore, Maryland
Phone Number 4106026062
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1053446856
Provider Enumeration Date 2007-02-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2506 Willow Glen Dr
City Baltimore
State Maryland (MD)
Post Code 212093136
Phone Number 4106026062
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Michael S Kidorf

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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