Healthcare Provider Details

I. General information

NPI: 1073456331
Provider Name (Legal Business Name): IN TANDEM PSYCHOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 ALLEGHENY AVE
TOWSON MD
21204-4258
US

IV. Provider business mailing address

309 ALLEGHENY AVE
TOWSON MD
21204-4258
US

V. Phone/Fax

Practice location:
  • Phone: 410-205-9421
  • Fax:
Mailing address:
  • Phone: 410-205-9421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. HANNAH H BOES
Title or Position: BUSINESS OWNER/PSYCHOLOGIST
Credential: PSYD
Phone: 443-635-1490