Healthcare Provider Details

I. General information

NPI: 1427245992
Provider Name (Legal Business Name): ANJELI BOLE INSCORE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 S. EUTAW STREET 3RD FLOOR
BALTIMORE MD
21201-1524
US

IV. Provider business mailing address

1520 HEATHER HILL LN
COCKEYSVILLE MD
21030-1631
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-4448
  • Fax:
Mailing address:
  • Phone: 443-622-3840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number04464
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04464
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: