Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 06641 | MD |
NPI | 1003246604 |
---|---|
Provider Name | Caitlin Emma Synovec |
First Address | Baltimore, MD 21211-2623 |
Second Address | Baltimore, MD 21202-4800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2013 |
Last Update Date | 18/11/2013 |