# NEURODIPITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104684711
- **Authorized official:** DR. MICHELE KYLE BRADSHAW PMHNP (NP)
- **Authorized official phone:** (240) 604-6074

## Contact information

- **Practice address:** 6120 BALTIMORE NATIONAL PIKE STE 200, CATONSVILLE, MD 21228-2930
- **Practice address phone:** (301) 291-5272
- **Mailing address:** 11140 ROCKVILLE PIKE STE 100, ROCKVILLE, MD 20852-3149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2024
- **Last updated:** 04/11/2025
