Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 02677 | MD |
N | 103T00000X | Psychologist | 02677 | MD |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 02677 | MD |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 02677 | MD |
N | 103TM1800X | Intellectual & Developmental Disabilities | 02677 | MD |
N | 103TP2701X | Group Psychotherapist | 02677 | MD |
NPI | 1083738165 |
---|---|
Provider Name | Dr. Deborah Harris O'brien |
First Address | Laurel, MD 20723-1029 |
Second Address | Laurel, MD 20723-1029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |