Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marquerite Petranella Laban, PHD

Individual provider Clinical Psychologist · NPI 1659472090

Dr. Marquerite Petranella Laban, PHD is a Clinical Psychologist in Timonium, Maryland. Qualified in 2014, 12 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9475 Deereco Rd Ste 410
Timonium, MD 21093-2124
Phone: (410) 560-6135
Fax: (410) 560-6136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 05420 (MD)

Record details

NPI number1659472090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address9475 Deereco Rd Ste 410, Timonium, MD 21093-2124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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