Healthcare Provider Details

I. General information

NPI: 1831020973
Provider Name (Legal Business Name): LAURA A LENKER M.S., NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S HICKORY AVE
BEL AIR MD
21014-3731
US

IV. Provider business mailing address

102 S HICKORY AVE
BEL AIR MD
21014-3731
US

V. Phone/Fax

Practice location:
  • Phone: 410-273-5567
  • Fax:
Mailing address:
  • Phone: 410-273-5567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberCER-187883-J0N7B7
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: