Provider Demographics
NPI:1356961866
Name:GOLANER, TERRY LEVINE (MS, LGPC)
Entity type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:LEVINE
Last Name:GOLANER
Suffix:
Gender:F
Credentials:MS, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8505 STEVENSON RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1606
Mailing Address - Country:US
Mailing Address - Phone:443-690-3969
Mailing Address - Fax:
Practice Address - Street 1:7301 TRAVERTINE DR UNIT 206
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3847
Practice Address - Country:US
Practice Address - Phone:443-690-3969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-24
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TS0200X
MDLGP11626101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool