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NPI Code Detail

MEDICARE: DR. CYNTHIA ROBIN KALODNER PH.D.

MEDICARE: DR. CYNTHIA ROBIN KALODNER PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TB0200XCognitive & Behavioral Psychologist02830MD
2103T00000XPsychologist02830MD

General Provider Information

NPI Number : 1356680805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA ROBIN KALODNER PH.D.
Provider Business Mailing Address
First Line : 10015 OLD COLUMBIA RD STE B215
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1865
Country : US
Telephone Number : 443-542-5855
Fax Number :
Provider Business Practice Location Address
First Line : 10015 OLD COLUMBIA RD STE B215
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1865
Country : US
Telephone Number : 443-542-5855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2013
Last Update Date : 03/04/2019

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