Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 03683 | MD |
Y | 103T00000X | Psychologist | 03683 | MD |
NPI | 1003964297 |
---|---|
Provider Name | Dr. Edith S Wolf |
First Address | Annapolis, MD 21401-7125 |
Second Address | Annapolis, MD 21401-7125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 08/07/2007 |