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CONSULTATION AND CRISIS INTERVENTION ASSOCIATES LLC NPI 1518213982

NPI Profile

NPI: 1518213982

Provider Name: CONSULTATION AND CRISIS INTERVENTION ASSOCIATES, LLC

Classification: Clinical Neuropsychologist - 103G00000X

Entity Type: Organization

Address:
1107 KENILWORTH DR STE 210
BALTIMORE, MD
ZIP 21204

Phone: (410) 296-1880

CONSULTATION AND CRISIS INTERVENTION ASSOCIATES, LLC is a clinical neuropsychologist in Baltimore, MD. The provider is an individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. CONSULTATION AND CRISIS INTERVENTION ASSOCIATES, LLC NPI is 1518213982. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1107 KENILWORTH DR STE 210
BALTIMORE, MD
ZIP 21204-136
Phone: (410) 296-1880
Fax: (410) 494-0368

The provider's authorized official is Peter Smith .
The authorized official title is Medical Director and has the following contact phone number (410) 296-1880.

The enumeration date for this NPI number is 8/3/2012 and was last updated on 8/3/2012.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103G00000X Clinical Neuropsychologist 04668 MARYLAND Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015