| Doctor Name: | DR. MARIANN ELIZABETH MICHELS |
| NPI Number: | 1497861256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DED MARYLAND LICENSE |
| License Number: | |
| Business Practice Address: | 4485 Old Solomons Island Rd Harwood, MD - 207769486 |
| Business Phone Number: | 4108677246 |
| Business Fax Number: | 4108670767 |
| Mailing Address: | 4485 Old Solomons Island Rd, HARWOOD |
| State: | MD |
| Postal Code: | 207769486 |
| Phone Number: | 4108677246 |
| Fax Number: | 4108670767 |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |