Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 16445 | MD |
NPI | 1003198649 |
---|---|
Provider Name | Mrs. Hilary Schneider Fink |
First Address | Towson, MD 21286-3109 |
Second Address | Towson, MD 21286 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2011 |
Last Update Date | 10/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
331311500 | (05) | MD |