Healthcare Provider Details

I. General information

NPI: 1801330584
Provider Name (Legal Business Name): AUNGELIQUE SLEDGE PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2016
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 W ROGERS AVE
BALTIMORE MD
21209-4596
US

IV. Provider business mailing address

1708 W ROGERS AVE
BALTIMORE MD
21209-4596
US

V. Phone/Fax

Practice location:
  • Phone: 410-578-8600
  • Fax:
Mailing address:
  • Phone: 410-578-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number07484
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1912141
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: