Organization
NEUROTHRIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK TRULLINGER (OWNER)
(443) 810-9483
Entity
Organization
Contact information
Practice address
1205 YORK RD STE 11, LUTHERVILLE, MD 21093-6211
(443) 810-9483
Mailing address
13941 ALDERTON RD, SILVER SPRING, MD 20906-2063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04502
MD
Other
Enumeration date
05/15/2015
Last updated
04/25/2016
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