Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 05113 | MD |
NPI | 1013353531 |
---|---|
Provider Name | Abigail Mintz Romirowsky |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20015-2055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 29/11/2018 |