| Chesapeake Neuropsychology, Llc | |
|
645 Baltimore Annapolis Blvd Ste 220 Severna Park MD 21146-3934 | |
| (410) 975-5058 | |
| Not Available |
| Full Name | Chesapeake Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 645 Baltimore Annapolis Blvd Ste 220, Severna Park, Maryland |
| Authorized Official Name and Position | Carrington R Wendell (OWNER) |
| Authorized Official Contact | 4109755058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Neuropsychology, Llc 645 Baltimore Annapolis Blvd Ste 220 Severna Park MD 21146-3934 Ph: (410) 975-5058 | Chesapeake Neuropsychology, Llc 645 Baltimore Annapolis Blvd Ste 220 Severna Park MD 21146-3934 Ph: (410) 975-5058 |
| NPI Number | 1699294884 |
|---|---|
| Provider Enumeration Date | 09/19/2017 |
| Last Update Date | 11/07/2019 |
| Medicare PECOS PAC ID | 8527325125 |
|---|---|
| Medicare Enrollment ID | O20171207001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699294884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 05406 (Maryland) | Primary |
| Provider Name | Carrington R Wendell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295001014 PECOS PAC ID: 1254640451 Enrollment ID: I20151028001540 |
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