Loretta Elizabeth Baum, PSY.D
Individual provider Active NPI Clinical Psychologist · Clarksville, MD
NPI 1811865751 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1811865751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- A0684 (MD)
- Practice address
- 6100 Daylong LN Ste 103
Clarksville, MD 21029-1631 - Phone
- (410) 531-8100
- NPI assigned
- Oct 23, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0684 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | A0684 | MD | Yes |
Addresses
Primary practice location
6100 Daylong LN Ste 103
Clarksville, MD 21029-1631
Mailing address
10615 Vista Linda Dr
Bowie, MD 20721-4046
Other providers in Clarksville, MD
- Patricia O'Brien Ayd-Boyd
- Marilyn Olubukola Bankole
- Belinda Bariring
- Basil Saiedy DDS LLC
- Michaela Battle
- Harry Herbert Benavent
- Vanessa L Benavent
- Diana F Bennett
- Yana Benyumov
- Annette Louise Bergeron
All providers in Clarksville, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.