Most Relevant Information
Provider Data
| NPI Number: | 1003024043 |
| Provider Name: | KEVIN ELI FAVOR PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 3743 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1803 SPARKS DR
FOREST HILL
MD
210502645
Practice Location Phone/Fax
| Phone: | 4108791872 |
| Fax: |
Provider Mailing Location
1803 SPARKS DR
FOREST HILL
MD
210502645
Provider Mailing Phone/Fax
| Phone: | 4108791872 |
| Fax: |