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MID ATLANTIC NEUROPSYCHOLOGY LLC NPI 1245701713


NPI Profile

NPI: 1245701713
Provider Name: MID ATLANTIC NEUROPSYCHOLOGY LLC
Classification:Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1501 SULGRAVE AVE STE 209
BALTIMORE, MD
ZIP 21209
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Phone: (410) 205-9820

MID ATLANTIC NEUROPSYCHOLOGY LLC is a clinical neuropsychologist in Baltimore, MD. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. MID ATLANTIC NEUROPSYCHOLOGY LLC NPI is 1245701713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1501 SULGRAVE AVE STE 209
BALTIMORE, MD
ZIP 21209-650
Phone: (410) 205-9820

The provider's authorized official is Jacob Priluck .
The authorized official title is President and has the following contact phone number (410) 205-9820.

The enumeration date for this NPI number is 12/10/2018 and was last updated on 3/19/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistYes

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: 4/11/2021

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