Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 04565 | MD |
NPI | 1063640209 |
---|---|
Provider Name | Dr. Ruth Tamar Zajdel |
First Address | Westminster, MD 21157-7146 |
Second Address | Westminster, MD 21157-7146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 25/06/2009 |