SearchMaryland101YP2500X

Kelly Wallis, LCPC

NPI 1659862050 · on the registry since 2018 · sole proprietor

Practice

Address
9475 Deereco Rd Ste 410
Timonium, MD 21093
Phone
(410) 560-6135
Organisation at this address
Shriram Dental Llc
Lynn R Chincheck, Dds
Core Clinical Services
Patel County Dentistry Pc
Core Counseling Services Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland