Desmond Camillo Buhagar

Individual provider Active NPI Marriage & Family Therapist · Baltimore, MD

NPI 1962612705 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1962612705
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
3048 Guilford Ave
Baltimore, MD 21218-3925
Phone
(410) 338-1296
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

3048 Guilford Ave
Baltimore, MD 21218-3925

Mailing address

3048 Guilford Ave
Baltimore, MD 21218-3925
Phone (410) 338-1296

Other providers in Baltimore, MD

All providers in Baltimore, MD · Marriage & Family Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.