Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 04327 | MD |
Y | 103T00000X | Psychologist | 04327 | MD |
NPI | 1992995518 |
---|---|
Provider Name | Stephanie L Ojeda-Uruburo |
First Address | Eldersburg, MD 21784-6464 |
Second Address | Eldersburg, MD 21784-6464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 30/07/2007 |