SearchMaryland103TC0700X

Amy Provan, PSY.D

NPI 1821454893 · on the registry since 2016 · sole proprietor

Practice

Address
630 Piccadilly Rd
Towson, MD 21204
Phone
(443) 846-6146

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-06

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