Most Relevant Information
Provider Data
| NPI Number: | 1003296617 |
| Provider Name: | MYRA WATERS PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | 04010 |
Most Important Dates
| Enumeration Date: | 06/09/2015 |
| Last Updated: | 04/13/2017 |
Provider Practice Location
9658 BALTIMORE AVE
#240
COLLEGE PARK
MD
207401346
Practice Location Phone/Fax
| Phone: | 4438242815 |
| Fax: |
Provider Mailing Location
PO BOX 43882
NOTTINGHAM
MD
212365564
Provider Mailing Phone/Fax
| Phone: | 4438242815 |
| Fax: |