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General NPI Number Information
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NPI Number | 1851483788
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Entity Type | Individual
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Provider Name | MARJORIE E. OKUM PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1205 YORK RD #39
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6210
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Country | US
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Telephone | 410-323-6099
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Fax | 410-323-6093
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Provider Business Mailing Address
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Address Line | 111 HAMLET HILL RD #310
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City | BALTIMORE
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State | MD
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Zip | 21210-1556
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Country | US
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Telephone | 410-323-7999
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Fax | 410-323-6093
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0913
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0913
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 0913
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 0913
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License Number State | MD
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