| Mid Atlantic Neuropsychology Llc | |
|
1501 Sulgrave Ave Ste 209 Baltimore MD 21209-3650 | |
| (410) 205-9820 | |
| Not Available |
| Full Name | Mid Atlantic Neuropsychology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1501 Sulgrave Ave Ste 209, Baltimore, Maryland |
| Authorized Official Name and Position | Jacob Priluck (PRESIDENT) |
| Authorized Official Contact | 4102059820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Atlantic Neuropsychology Llc 1501 Sulgrave Ave Ste 209 Baltimore MD 21209-3650 Ph: (410) 205-9820 | Mid Atlantic Neuropsychology Llc 1501 Sulgrave Ave Ste 209 Baltimore MD 21209-3650 Ph: (410) 205-9820 |
| NPI Number | 1245701713 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245701713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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