Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | LCM028 | MD |
NPI | 1134253628 |
---|---|
Provider Name | Gerard J Hunt |
First Address | Lutherville, MD 21093-6028 |
Second Address | Lutherville, MD 21093-6028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 08/08/2013 |