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NPI Profile for THE PARK AVENUE GROUP LLC in BALTIMORE, MD.
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Clinical Neuropsychologist |
103G00000X | |||
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Counselor |
101Y00000X | |||
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI # | 1720208218 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/26/2007 | |
| Last updated | 04/02/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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THE PARK AVENUE GROUP LLC
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THE PARK AVENUE GROUP LLC