Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1142 | MD |
N | 103T00000X | Psychologist | 1142 | MD |
N | 103G00000X | Clinical Psychologist | 1142 | MD |
N | 103TC0700X | Clinical Psychologist | 1142 | MD |
N | 103TC1900X | Counseling Psychologist | 1142 | MD |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1142 | MD |
N | 103TF0000X | Family Psychologist | 1142 | MD |
N | 103TP0814X | Psychoanalysis | 1142 | MD |
N | 103TP2701X | Group Psychotherapist | 1142 | MD |
NPI | 1023224326 |
---|---|
Provider Name | Dr. John Michael Hayes |
First Address | Baltimore, MD 21210-2808 |
Second Address | Columbia, MD 21044-3273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |