Organization
KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES
Active
Other names
Kennedy Krieger School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J NEUMAN (SENIOR VP FINANCE)
(443) 923-1810
Entity
Organization
Contact information
Practice address
4600 POWDER MILL RD., BELTSVILLE, MD 20705-2675
(443) 923-4170
(443) 923-9405
Mailing address
1741 ASHLAND AVE., BALTIMORE, MD 21205
(443) 923-1870
(443) 923-1895
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
MD
163WS0200X
School Registered Nurse
—
MD
225100000X
Physical Therapist
—
MD
225X00000X
Occupational Therapist
—
MD
235Z00000X
Speech-Language Pathologist
—
MD
261QD1600X
Developmental Disabilities Clinic/Center
Primary
30-036
MD
Other
Enumeration date
05/21/2008
Last updated
11/24/2021
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