Provider Demographics
NPI:1497968614
Name:HAYES-GARY, NANCY L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:L
Last Name:HAYES-GARY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9318 OAK WHITE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4725
Mailing Address - Country:US
Mailing Address - Phone:410-529-9670
Mailing Address - Fax:
Practice Address - Street 1:1615 YORK RD
Practice Address - Street 2:SUITE #302
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-5600
Practice Address - Country:US
Practice Address - Phone:410-321-5727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2943103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical