# KENNEDY KRIEGER ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KENNEDY KRIEGER INSTITUTE
- **Other names:** Kennedy Krieger Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053572958
- **Legal business name:** KENNEDY KRIEGER INSTITUTE
- **Authorized official:** MR. MIKE NEUMAN (VICE PRESIDENT FINANCE)
- **Authorized official phone:** (443) 923-1810

## Contact information

- **Practice address:** 707 N. BROADWAY, BALTIMORE, MD 21205
- **Practice address phone:** (443) 923-9200
- **Practice address fax:** (443) 923-9405
- **Mailing address:** P.O. BOX 744865, ATLANTA, GA 30374
- **Mailing address phone:** (443) 923-1886
- **Mailing address fax:** (443) 923-1895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 30036 | MD | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 09/16/2020