| Neurohealth Consulting | |
|
120 Sister Pierre Dr Suite 501 Towson MD 21204-7516 | |
| (410) 337-6801 | |
| (410) 337-8686 |
| Full Name | Neurohealth Consulting |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 120 Sister Pierre Dr, Towson, Maryland |
| Authorized Official Name and Position | Jeffrey Rudolph Campodonico (PRESIDENT/CEO) |
| Authorized Official Contact | 4103376801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurohealth Consulting 529 Piccadilly Rd Towson MD 21204-3716 Ph: (410) 598-4966 | Neurohealth Consulting 120 Sister Pierre Dr Suite 501 Towson MD 21204-7516 Ph: (410) 337-6801 |
| NPI Number | 1790956118 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Medicare PECOS PAC ID | 2567638216 |
|---|---|
| Medicare Enrollment ID | O20111229000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790956118 | NPI | - | NPPES |
| KEJ2 | Other | MD | BLUECROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 3071 (Maryland) | Primary |
| Provider Name | Jeffrey Rudolph Campodonico |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407908395 PECOS PAC ID: 9234025495 Enrollment ID: I20111229000489 |
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