# JOHNS HOPKINS UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHNS HOPKINS UNIVERSITY
- **Other names:** JHU - REHAB MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831195502
- **Legal business name:** JOHNS HOPKINS UNIVERSITY
- **Authorized official:** SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
- **Authorized official phone:** (410) 933-6430

## Contact information

- **Practice address:** 10803 FALLS RD, LUTHERVILLE, MD 21093-4518
- **Practice address phone:** (410) 532-4714
- **Mailing address:** PO BOX 64407, BALTIMORE, MD 21264-4407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | MD | Yes |

## Other

- **Enumeration date:** 06/27/2005
- **Last updated:** 02/27/2025
