Basic Information
| Provider Information | |||||||||
| NPI: | 1114466976 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SZTAJER | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | JOY | ||||||||
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| Credential: | LCSW-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6501 N CHARLES ST | ||||||||
| Address2: | POWER PLANT PH291 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212046819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109384668 | ||||||||
| FaxNumber: | 4109385131 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 TEXAS STATION CT | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | TIMONIUM | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210938286 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106833380 | ||||||||
| FaxNumber: | 4106833121 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2017 | ||||||||
| LastUpdateDate: | 02/13/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 16487 | MD | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.