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NPI Code Detail

MEDICARE: DR. MARIA NMI MOURATIDIS PSY.D.

MEDICARE: DR. MARIA NMI MOURATIDIS PSY.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
1103TC0700XClinical Psychologist04187MD

General Provider Information

NPI Number : 1922078021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA NMI MOURATIDIS PSY.D.
Provider Business Mailing Address
First Line : 3355 SAINT JOHNS LN STE F
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2600
Country : US
Telephone Number : 443-545-6530
Fax Number :
Provider Business Practice Location Address
First Line : 3355 SAINT JOHNS LN STE F
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2600
Country : US
Telephone Number : 443-545-6530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 06/03/2025

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