Healthcare Provider Details

I. General information

NPI: 1356555361
Provider Name (Legal Business Name): ROBIN M CIOTTI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 12/27/2021
Certification Date: 12/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HAMILL RD STE 354
BALTIMORE MD
21210-1813
US

IV. Provider business mailing address

2 HAMILL RD STE 354
BALTIMORE MD
21210-1813
US

V. Phone/Fax

Practice location:
  • Phone: 410-583-8892
  • Fax: 410-823-5114
Mailing address:
  • Phone: 410-583-8892
  • Fax: 410-823-5114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04708
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: