Provider Demographics
NPI:1164647483
Name:KLEIN, GARY ARNOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:ARNOLD
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9505 REISTERSTOWN ROAD
Mailing Address - Street 2:SUITE 3N
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4469
Mailing Address - Country:US
Mailing Address - Phone:410-581-9068
Mailing Address - Fax:410-581-9068
Practice Address - Street 1:9505 REISTERSTOWN ROAD
Practice Address - Street 2:SUITE 3N
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4469
Practice Address - Country:US
Practice Address - Phone:410-581-9068
Practice Address - Fax:410-581-9068
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2014-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00128012084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry