Dr. Diane Carla Pomerantz
Psychologist
660 Kenilworth Dr Ste 101
Towson
, Maryland 21204-2353
Dr. Diane Carla Pomerantz
Psychologist
660 Kenilworth Dr Ste 101
Towson
, Maryland 21204-2353
(410) 653-9079
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Diane Carla Pomerantz
- 4 Poinsettia Ct
- Baltimore, MD
- Zip : 21209-1109
- Phone : (410) 653-9079
Second Address
- Dr. Diane Carla Pomerantz
- 660 Kenilworth Dr Ste 101
- Towson, MD
- Zip : 21204-2353
- Fax : (410) 887-5384
- Phone : (410) 653-9079
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 01580 | MD |
| Y | 103T00000X | Psychologist | 01580 | MD |
National Provider Identifier
| NPI | 1013101864 |
|---|---|
| Provider Name | Dr. Diane Carla Pomerantz |
| First Address | Baltimore, MD 21209-1109 |
| Second Address | Towson, MD 21204-2353 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2007 |
| Last Update Date | 04/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.