HOLLY VANDERWALDE (NPI# 1366840696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366840696 |
| Entity Type | Individual |
| Full Name | HOLLY VANDERWALDE |
| Practice Address |
1708 W Rogers Ave Baltimore MD 21209-4545 |
| Practice Telephone | 4105788600 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
05500 | MD | Behavioral Health & Social Service Providers |
| Street Address |
1708 W ROGERS AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21209-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568400125 | Ajoke Ajayi Akintade | Pediatrics | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2006-06-03 |
| 1205434438 | Eliannah Gabrielle De Carlo | Psychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-10-09 |
| 1972116200 | Kalina Eneva Hurley | Clinical Neuropsychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-08-26 |
| 1851900716 | Andrew Douglas Gill | Psychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-07-27 |
| 1104442128 | Nicole Sanchez | Physical Therapist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-06-25 |
| 1700402120 | Lee Winemiller Cockrum | Physical Therapist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-06-22 |
| 1366067209 | Lesley Hall Delaney | Speech-Language Pathologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-06-16 |
| 1124643101 | Anna Formica | Speech-Language Pathologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-06-15 |
| 1649895624 | Abby Correia | Speech-Language Pathologist | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2020-06-15 |
| 1366066185 | Dorothy Cook | Occupational Therapist | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
| 1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
| 1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
| 1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
| 1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
| 1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
| Find all providers in zip 21209 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969802 | Together We Rise LLC | Psychologist | 1014 W 36th St, Baltimore, MD 21211-2415 | 2020-07-10 |
| 1225438344 | Marjorie Katherine Mccalla | Psychologist | 720 Aliceanna St, Baltimore, MD 21202-4387 | 2014-08-26 |
| 1528391737 | Tara Mathews | Psychologist | Division of Child and Adolescent Psychiatry, 600 N. Wolfe Street/ Cmsc 376, Baltimore, MD 21287-0001 | 2009-09-08 |
| 1265618961 | Kimberly Dyan Becker | Psychologist | 600 N Wolfe Street/cmsc 346, Baltimore, MD 21287-0001 | 2008-01-14 |
| 1881807899 | Julie E Kingery | Psychologist | 600 North Wolfe Street, Cmsc 346, Division of Child and Adolescent Psychiatry, Baltimore, MD 21287 | 2007-05-07 |
| 1316161821 | Sharon Jenny Green-hennessy | Psychologist | 5911 York Rd, Suite 100 Loyola Clinical Centers, Baltimore, MD 21212-3048 | 2007-04-13 |
| 1396366274 | Samantha Noelle Hartley | Psychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-05-01 |
| 1376199711 | Marissa Miller | Psychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2019-08-12 |
| 1083178578 | Kara Koenig | Psychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2019-01-29 |
| 1740776996 | Anna Davis | Psychologist | 701 W Pratt St, Baltimore, MD 21201-1023 | 2018-07-10 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on HOLLY VANDERWALDE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.