| NPI | 1699294884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRINGTON R WENDELL Owner 410-975-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 05406) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2019-11-07 |