Provider Demographics
NPI:1154602308
Name:SAWYER, AARON M (PHD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:SAWYER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 ALICEANNA ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4391
Mailing Address - Country:US
Mailing Address - Phone:443-923-7480
Mailing Address - Fax:443-923-7505
Practice Address - Street 1:707 N BROADWAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1832
Practice Address - Country:US
Practice Address - Phone:443-923-7480
Practice Address - Fax:443-923-7505
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05203103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical