IndividualActive
Amy Provan, PSY.D.
NPI 1821454893 · Clinical Psychologist · Towson, MD
Provider details
- NPI number
- 1821454893
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 04508 (MD)
Mailing address
630 Piccadilly Rd
Towson, MD 21204-3803
Registry dates
- Enumerated
- 2016-01-06
- Last updated
- 2016-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.